How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $338.84 Median $1,288.25 Typical High $3,467.37 | Facility | None | $338.84 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $363.08 | Professional | None | $229.09 | $257.04 | $363.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $1,819.70 | Facility | None | $501.19 | $724.44 | $1,819.70 |
BCBS Louisiana Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $380.19 | Professional | None | $190.55 | $251.19 | $380.19 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $851.14 | Facility | None | $346.74 | $549.54 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $354.81 | Professional | None | $169.82 | $239.88 | $354.81 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,187.76 | Facility | None | $275.42 | $630.96 | $2,187.76 |
United Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $426.58 | Professional | None | $147.91 | $234.42 | $426.58 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $114.82 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $190.55 Typical High $263.03 | Professional | 54 · Surgery only | $169.82 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.02 Typical High $52.48 | Professional | 55 · Aftercare only | $33.88 | $38.02 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $34.67 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $177.83 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $158.49 | $177.83 | $245.47 |
Where Louisiana sits
The same service costs 4.2 times more in Alaska than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 24th of 51
$275
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.