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 $389.05 Median $1,513.56 Typical High $3,467.37 | Facility | None | $389.05 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $371.54 | Professional | None | $269.15 | $302.00 | $371.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $1,698.24 | Facility | None | $501.19 | $691.83 | $1,698.24 |
BCBS Louisiana Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $407.38 | Professional | None | $234.42 | $309.03 | $407.38 |
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 $436.52 Median $645.65 Typical High $954.99 | Facility | None | $436.52 | $645.65 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $389.05 | Professional | None | $194.98 | $295.12 | $389.05 |
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 $173.78 Median $234.42 Typical High $416.87 | Professional | None | $173.78 | $234.42 | $416.87 |
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 $134.90 Median $151.36 Typical High $177.83 | Professional | 52 · Reduced service | $134.90 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $72.44 | Professional | 53 · Discontinued | $54.95 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $229.09 Typical High $269.15 | Professional | 54 · Surgery only | $204.17 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $40.74 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $30.20 Typical High $35.48 | Professional | 56 · Pre-op care only | $26.92 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $213.80 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $190.55 | $213.80 | $251.19 |
Where Louisiana sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 21st of 51
$309
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.