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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $933.25 | Professional | None | $691.83 | $758.58 | $933.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $5,011.87 | Facility | None | $1,513.56 | $2,089.30 | $5,011.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $794.33 | Professional | None | $645.65 | $676.08 | $794.33 |
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 $331.13 Median $645.65 Typical High $1,995.26 | Facility | None | $331.13 | $645.65 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $660.69 | Professional | None | $524.81 | $616.60 | $660.69 |
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 $371.54 Median $549.54 Typical High $851.14 | Professional | None | $371.54 | $549.54 | $851.14 |
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 $346.74 Median $371.54 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $371.54 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $151.36 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $660.69 | Professional | 54 · Surgery only | $524.81 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $134.90 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $616.60 |
Where Louisiana sits
The same service costs 8.3 times more in Wyoming than in Texas. 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· 21st of 51
$794
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.