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 $645.65 Median $2,570.40 Typical High $3,890.45 | Facility | None | $645.65 | $2,570.40 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $2,630.27 Typical High $3,630.78 | Professional | None | $575.44 | $2,630.27 | $3,630.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $8,317.64 | Facility | None | $2,454.71 | $3,801.89 | $8,317.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $2,951.21 | Professional | None | $512.86 | $660.69 | $2,951.21 |
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 $1,174.90 Typical High $5,623.41 | Facility | None | $524.81 | $1,174.90 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $741.31 Typical High $2,238.72 | Professional | None | $446.68 | $741.31 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,202.26 | $3,090.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,819.70 Typical High $3,890.45 | Professional | None | $371.54 | $1,819.70 | $3,890.45 |
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 $281.84 Median $512.86 Typical High $1,819.70 | Professional | 52 · Reduced service | $281.84 | $512.86 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $204.17 Typical High $741.31 | Professional | 53 · Discontinued | $114.82 | $204.17 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $776.25 Typical High $2,754.23 | Professional | 54 · Surgery only | $426.58 | $776.25 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $154.88 Typical High $549.54 | Professional | 55 · Aftercare only | $85.11 | $154.88 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $102.33 Typical High $363.08 | Professional | 56 · Pre-op care only | $57.54 | $102.33 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $724.44 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $398.11 | $724.44 | $2,570.40 |
Where Louisiana sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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· 17th of 51
$2,239
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.