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 $676.08 Median $2,398.83 Typical High $4,365.16 | Facility | None | $676.08 | $2,398.83 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $870.96 | Professional | None | $616.60 | $724.44 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $31.62 Median $524.81 Typical High $1,348.96 | Facility | None | $31.62 | $524.81 | $1,348.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $741.31 | Professional | None | $575.44 | $707.95 | $741.31 |
Christus Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $707.95 | Facility | None | $302.00 | $501.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $660.69 | Professional | None | $501.19 | $575.44 | $660.69 |
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 $426.58 Median $537.03 Typical High $1,096.48 | Professional | None | $426.58 | $537.03 | $1,096.48 |
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 $363.08 Typical High $416.87 | Professional | 52 · Reduced service | $323.59 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $169.82 | Professional | 53 · Discontinued | $128.82 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $478.63 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $72.44 Typical High $85.11 | Professional | 56 · Pre-op care only | $64.57 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $446.68 | $501.19 | $588.84 |
Where Louisiana sits
The same service costs 6.2 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· 34th of 51
$603
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.