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 $478.63 Median $2,398.83 Typical High $4,365.16 | Facility | None | $478.63 | $2,398.83 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $512.86 | Professional | None | $354.81 | $407.38 | $512.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $524.81 Typical High $1,348.96 | Facility | None | $218.78 | $524.81 | $1,348.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $426.58 | Professional | None | $316.23 | $389.05 | $426.58 |
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 $199.53 Median $446.68 Typical High $707.95 | Facility | None | $199.53 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $436.52 | Professional | None | $275.42 | $316.23 | $436.52 |
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 $239.88 Median $426.58 Typical High $1,023.29 | Professional | None | $239.88 | $426.58 | $1,023.29 |
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 $177.83 Median $204.17 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $309.03 Typical High $363.08 | Professional | 54 · Surgery only | $263.03 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $52.48 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $40.74 Typical High $47.86 | Professional | 56 · Pre-op care only | $35.48 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $288.40 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $245.47 | $288.40 | $338.84 |
Where Louisiana sits
The same service costs 5.0 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· 39th of 51
$380
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.