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 $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $977.24 | Professional | None | $724.44 | $776.25 | $977.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $4,677.35 | Facility | None | $1,258.93 | $1,995.26 | $4,677.35 |
BCBS Louisiana Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $831.76 | Professional | None | $660.69 | $707.95 | $831.76 |
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 $645.65 Median $1,071.52 Typical High $1,995.26 | Facility | None | $645.65 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $691.83 | Professional | None | $575.44 | $645.65 | $691.83 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $5,754.40 | Facility | None | $831.76 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $891.25 | Professional | None | $416.87 | $562.34 | $891.25 |
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 $363.08 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $363.08 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $186.21 | Professional | 53 · Discontinued | $144.54 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $549.54 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $93.33 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $645.65 |
Where Louisiana sits
The same service costs 8.5 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· 18th of 51
$871
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.