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 $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,096.48 | $1,318.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,862.09 Median $3,235.94 Typical High $7,413.10 | Facility | None | $1,862.09 | $3,235.94 | $7,413.10 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,047.13 | $1,230.27 |
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 $2,754.23 | Facility | None | $501.19 | $831.76 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $977.24 | Professional | None | $794.33 | $954.99 | $977.24 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,317.64 | Facility | None | $1,047.13 | $2,238.72 | $8,317.64 |
United Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,258.93 | Professional | None | $575.44 | $794.33 | $1,258.93 |
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 $512.86 Median $549.54 Typical High $660.69 | Professional | 52 · Reduced service | $512.86 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $218.78 Typical High $263.03 | Professional | 53 · Discontinued | $204.17 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $131.83 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $912.01 |
Where Louisiana sits
The same service costs 8.3 times more in Wyoming 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· 20th of 51
$1,230
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.