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 $660.69 Median $2,454.71 Typical High $4,365.16 | Facility | None | $660.69 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $870.96 | Professional | None | $660.69 | $707.95 | $870.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $6,760.83 | Facility | None | $1,905.46 | $2,951.21 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $724.44 | Professional | None | $588.84 | $660.69 | $724.44 |
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 $707.95 Median $1,479.11 Typical High $3,090.30 | Facility | None | $707.95 | $1,479.11 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | None | $512.86 | $562.34 | $645.65 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,317.64 | Facility | None | $1,047.13 | $2,238.72 | $8,317.64 |
United Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $933.25 | Professional | None | $416.87 | $512.86 | $933.25 |
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 $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $323.59 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $97.72 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $70.79 Typical High $83.18 | Professional | 56 · Pre-op care only | $66.07 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $501.19 | $588.84 |
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· 21st of 51
$813
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.