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 $323.59 Median $1,288.25 Typical High $3,467.37 | Facility | None | $323.59 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | None | $213.80 | $257.04 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $154.88 Median $281.84 Typical High $758.58 | Facility | None | $154.88 | $281.84 | $758.58 |
BCBS Louisiana Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $295.12 | Professional | None | $190.55 | $234.42 | $295.12 |
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 $138.04 Median $316.23 Typical High $676.08 | Facility | None | $138.04 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $251.19 | Professional | None | $165.96 | $204.17 | $251.19 |
United Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $1,202.26 | Facility | None | $91.20 | $389.05 | $1,202.26 |
United Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $354.81 | Professional | None | $141.25 | $194.98 | $354.81 |
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 $104.71 Median $131.83 Typical High $162.18 | Professional | 52 · Reduced service | $104.71 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $66.07 | Professional | 53 · Discontinued | $42.66 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $194.98 Typical High $245.47 | Professional | 54 · Surgery only | $158.49 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $38.90 Typical High $48.98 | Professional | 55 · Aftercare only | $31.62 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $26.30 Typical High $32.36 | Professional | 56 · Pre-op care only | $21.38 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $181.97 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $147.91 | $181.97 | $229.09 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 26th of 51
$234
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.