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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $812.83 | Professional | None | $645.65 | $691.83 | $812.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,630.27 Median $3,235.94 Typical High $7,943.28 | Facility | None | $2,630.27 | $3,235.94 | $7,943.28 |
BCBS Louisiana Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $707.95 | Professional | None | $575.44 | $645.65 | $707.95 |
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 $3,467.37 | Facility | None | $501.19 | $831.76 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $630.96 | Professional | None | $501.19 | $562.34 | $630.96 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $6,309.57 | Facility | None | $831.76 | $1,548.82 | $6,309.57 |
United Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $812.83 | Professional | None | $363.08 | $501.19 | $812.83 |
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 $323.59 Median $346.74 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $165.96 | Professional | 53 · Discontinued | $128.82 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $512.86 Typical High $616.60 | Professional | 54 · Surgery only | $478.63 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $123.03 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $69.18 Typical High $81.28 | Professional | 56 · Pre-op care only | $64.57 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $478.63 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $446.68 | $478.63 | $575.44 |
Where Louisiana sits
The same service costs 7.9 times more in Wyoming 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· 20th of 51
$759
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.