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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $134.90 | Professional | None | $95.50 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $81.28 Typical High $97.72 | Professional | 54 · Surgery only | $72.44 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $75.86 Typical High $91.20 | Professional | 78 · Unplanned return to OR | $67.61 | $75.86 | $91.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $48.98 Median $162.18 Typical High $676.08 | Facility | None | $48.98 | $162.18 | $676.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $144.54 | Professional | None | $83.18 | $109.65 | $144.54 |
Christus Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $645.65 | Facility | None | $51.29 | $75.86 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $138.04 | Professional | None | $69.18 | $104.71 | $138.04 |
United Setting Facility Modifier None Typical Low $91.20 Median $380.19 Typical High $1,202.26 | Facility | None | $91.20 | $380.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $151.36 | Professional | None | $61.66 | $85.11 | $151.36 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 50 · Both sides | $114.82 | $114.82 | $114.82 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 17th of 51
$110
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.