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 $524.81 Median $1,513.56 Typical High $3,548.13 | Facility | None | $524.81 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $741.31 | Professional | None | $501.19 | $630.96 | $741.31 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $4,677.35 | Facility | None | $1,513.56 | $2,089.30 | $4,677.35 |
BCBS Louisiana Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $645.65 | Professional | None | $457.09 | $549.54 | $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 $501.19 Median $831.76 Typical High $2,187.76 | Facility | None | $501.19 | $831.76 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $524.81 | Professional | None | $398.11 | $457.09 | $524.81 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,801.89 | Facility | None | $446.68 | $954.99 | $3,801.89 |
United Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $758.58 | Professional | None | $338.84 | $436.52 | $758.58 |
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 $251.19 Median $309.03 Typical High $363.08 | Professional | 52 · Reduced service | $251.19 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $125.89 Typical High $147.91 | Professional | 53 · Discontinued | $102.33 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $467.74 Typical High $549.54 | Professional | 54 · Surgery only | $380.19 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $93.33 Typical High $109.65 | Professional | 55 · Aftercare only | $75.86 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $63.10 Typical High $74.13 | Professional | 56 · Pre-op care only | $50.12 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $436.52 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $354.81 | $436.52 | $512.86 |
Where Louisiana sits
The same service costs 6.0 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· 23rd of 51
$562
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.