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 $501.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $501.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $870.96 | Professional | None | $645.65 | $741.31 | $870.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $58.88 Median $524.81 Typical High $1,380.38 | Facility | None | $58.88 | $524.81 | $1,380.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $758.58 | Professional | None | $575.44 | $707.95 | $758.58 |
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 $309.03 Median $501.19 Typical High $707.95 | Facility | None | $309.03 | $501.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $691.83 | Professional | None | $501.19 | $575.44 | $691.83 |
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 $436.52 Median $575.44 Typical High $1,318.26 | Professional | None | $436.52 | $575.44 | $1,318.26 |
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 $371.54 Typical High $436.52 | Professional | 52 · Reduced service | $323.59 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $128.82 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $645.65 | Professional | 54 · Surgery only | $478.63 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $95.50 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | 56 · Pre-op care only | $64.57 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $512.86 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $446.68 | $512.86 | $602.56 |
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· 36th of 51
$631
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.