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 $398.11 Median $1,513.56 Typical High $3,548.13 | Facility | None | $398.11 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $426.58 | Professional | None | $177.83 | $323.59 | $426.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $239.88 Median $851.14 Typical High $2,089.30 | Facility | None | $239.88 | $851.14 | $2,089.30 |
BCBS Louisiana Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $380.19 | Professional | None | $158.49 | $245.47 | $380.19 |
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 $457.09 Median $676.08 Typical High $954.99 | Facility | None | $457.09 | $676.08 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $295.12 | Professional | None | $141.25 | $229.09 | $295.12 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $2,951.21 | Facility | None | $446.68 | $954.99 | $2,951.21 |
United Setting Professional Modifier None Typical Low $123.03 Median $239.88 Typical High $467.74 | Professional | None | $123.03 | $239.88 | $467.74 |
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 $89.13 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $89.13 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $64.57 Typical High $85.11 | Professional | 53 · Discontinued | $35.48 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $239.88 Typical High $316.23 | Professional | 54 · Surgery only | $131.83 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $47.86 Typical High $63.10 | Professional | 55 · Aftercare only | $26.30 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $32.36 Typical High $42.66 | Professional | 56 · Pre-op care only | $17.78 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $223.87 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $123.03 | $223.87 | $295.12 |
Where Louisiana sits
The same service costs 4.7 times more in Alaska than in Virginia. 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· 19th of 51
$295
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.