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 $537.03 Median $1,548.82 Typical High $3,548.13 | Facility | None | $537.03 | $1,548.82 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,659.59 | $1,819.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,623.41 Typical High $11,481.54 | Facility | None | $4,570.88 | $5,623.41 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,862.09 | $1,862.09 |
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 $501.19 Median $831.76 Typical High $3,467.37 | Facility | None | $501.19 | $831.76 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,318.26 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $10,471.29 | Facility | None | $1,202.26 | $3,019.95 | $10,471.29 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,089.30 | Professional | None | $977.24 | $1,230.27 | $2,089.30 |
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 $724.44 Median $831.76 Typical High $891.25 | Professional | 52 · Reduced service | $724.44 | $831.76 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $331.13 Typical High $363.08 | Professional | 53 · Discontinued | $288.40 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,230.27 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,096.48 | $1,230.27 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $245.47 Typical High $269.15 | Professional | 55 · Aftercare only | $218.78 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $165.96 Typical High $181.97 | Professional | 56 · Pre-op care only | $144.54 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,148.15 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,148.15 | $1,258.93 |
Where Louisiana sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 19th of 51
$1,738
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.