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 $1,288.25 Typical High $3,467.37 | Facility | None | $467.74 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $660.69 | Professional | None | $436.52 | $524.81 | $660.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $363.08 Median $1,995.26 Typical High $5,248.07 | Facility | None | $363.08 | $1,995.26 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $616.60 | Professional | None | $389.05 | $489.78 | $616.60 |
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 $323.59 Median $588.84 Typical High $1,174.90 | Facility | None | $323.59 | $588.84 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $501.19 | Professional | None | $346.74 | $436.52 | $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 $275.42 Median $380.19 Typical High $630.96 | Professional | None | $275.42 | $380.19 | $630.96 |
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 $218.78 Median $269.15 Typical High $331.13 | Professional | 52 · Reduced service | $218.78 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $107.15 Typical High $131.83 | Professional | 53 · Discontinued | $87.10 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $407.38 Typical High $501.19 | Professional | 54 · Surgery only | $331.13 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $81.28 Typical High $100.00 | Professional | 55 · Aftercare only | $66.07 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $53.70 Typical High $66.07 | Professional | 56 · Pre-op care only | $43.65 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $380.19 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $309.03 | $380.19 | $467.74 |
Where Louisiana sits
The same service costs 5.0 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· 25th of 51
$501
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.