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 $467.74 Median $2,511.89 Typical High $3,890.45 | Facility | None | $467.74 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $724.44 | Professional | None | $371.54 | $575.44 | $724.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $5,248.07 | Facility | None | $1,258.93 | $1,995.26 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $645.65 | Professional | None | $338.84 | $489.78 | $645.65 |
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 $724.44 Median $1,202.26 Typical High $2,511.89 | Facility | None | $724.44 | $1,202.26 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $501.19 | Professional | None | $295.12 | $398.11 | $501.19 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $251.19 Median $407.38 Typical High $776.25 | Professional | None | $251.19 | $407.38 | $776.25 |
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 $186.21 Median $288.40 Typical High $363.08 | Professional | 52 · Reduced service | $186.21 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $114.82 Typical High $144.54 | Professional | 53 · Discontinued | $74.13 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $436.52 Typical High $549.54 | Professional | 54 · Surgery only | $281.84 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $87.10 Typical High $109.65 | Professional | 55 · Aftercare only | $56.23 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $57.54 Typical High $72.44 | Professional | 56 · Pre-op care only | $37.15 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $407.38 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $263.03 | $407.38 | $512.86 |
Where Louisiana sits
The same service costs 5.5 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
$525
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.