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 $389.05 Median $1,258.93 Typical High $3,467.37 | Facility | None | $389.05 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $478.63 | Professional | None | $302.00 | $380.19 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $239.88 Median $524.81 Typical High $1,445.44 | Facility | None | $239.88 | $524.81 | $1,445.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $426.58 | Professional | None | $275.42 | $346.74 | $426.58 |
Christus Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $446.68 Typical High $707.95 | Facility | None | $213.80 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $363.08 | Professional | None | $239.88 | $295.12 | $363.08 |
United Setting Facility Modifier None Typical Low $275.42 Median $616.60 Typical High $2,041.74 | Facility | None | $275.42 | $616.60 | $2,041.74 |
United Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $645.65 | Professional | None | $208.93 | $302.00 | $645.65 |
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 $151.36 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $151.36 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $75.86 Typical High $95.50 | Professional | 53 · Discontinued | $60.26 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $288.40 Typical High $363.08 | Professional | 54 · Surgery only | $229.09 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $57.54 Typical High $72.44 | Professional | 55 · Aftercare only | $45.71 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.02 Typical High $47.86 | Professional | 56 · Pre-op care only | $30.20 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $269.15 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $213.80 | $269.15 | $338.84 |
Where Louisiana sits
The same service costs 4.2 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· 36th of 51
$339
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.