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 $676.08 Median $1,949.84 Typical High $3,715.35 | Facility | None | $676.08 | $1,949.84 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,949.84 | $2,137.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $5,011.87 Typical High $11,481.54 | Facility | None | $3,162.28 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,698.24 | $2,187.76 | $2,187.76 |
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 $524.81 Median $1,071.52 Typical High $6,606.93 | Facility | None | $524.81 | $1,071.52 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,041.74 | Professional | None | $1,288.25 | $1,548.82 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $12,022.64 | Facility | None | $1,202.26 | $3,019.95 | $12,022.64 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,445.44 | $2,511.89 |
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 $870.96 Median $977.24 Typical High $1,071.52 | Professional | 52 · Reduced service | $870.96 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 53 · Discontinued | $346.74 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,479.11 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,288.25 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $295.12 Typical High $323.59 | Professional | 55 · Aftercare only | $257.04 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $194.98 Typical High $213.80 | Professional | 56 · Pre-op care only | $173.78 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,380.38 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,380.38 | $1,513.56 |
Where Louisiana sits
The same service costs 11.0 times more in Alaska than in Texas. 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· 18th of 51
$2,042
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.