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 $1,778.28 Median $2,041.74 Typical High $2,187.76 | Professional | None | $1,778.28 | $2,041.74 | $2,187.76 |
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 $1,778.28 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,778.28 | $2,290.87 | $2,290.87 |
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 $1,348.96 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,348.96 | $1,621.81 | $2,137.96 |
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 $1,174.90 Median $1,513.56 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,513.56 | $2,818.38 |
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 $891.25 Median $1,000.00 Typical High $1,096.48 | Professional | 52 · Reduced service | $891.25 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $407.38 Typical High $446.68 | Professional | 53 · Discontinued | $354.81 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,513.56 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,348.96 | $1,513.56 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $302.00 Typical High $331.13 | Professional | 55 · Aftercare only | $269.15 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $204.17 Typical High $218.78 | Professional | 56 · Pre-op care only | $177.83 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,412.54 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,412.54 | $1,548.82 |
Where Louisiana sits
The same service costs 7.2 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· 19th of 51
$2,089
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.