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 $457.09 Median $1,862.09 Typical High $3,715.35 | Facility | None | $457.09 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $478.63 | Professional | None | $251.19 | $389.05 | $478.63 |
BCBS Louisiana Setting Facility Modifier None Typical Low $309.03 Median $1,995.26 Typical High $5,248.07 | Facility | None | $309.03 | $1,995.26 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $446.68 | Professional | None | $229.09 | $331.13 | $446.68 |
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 $269.15 Median $446.68 Typical High $676.08 | Facility | None | $269.15 | $446.68 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $346.74 | Professional | None | $208.93 | $281.84 | $346.74 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $562.34 | Professional | None | $177.83 | $281.84 | $562.34 |
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 $125.89 Median $194.98 Typical High $239.88 | Professional | 52 · Reduced service | $125.89 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $77.62 Typical High $95.50 | Professional | 53 · Discontinued | $50.12 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $288.40 Typical High $363.08 | Professional | 54 · Surgery only | $190.55 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $57.54 Typical High $72.44 | Professional | 55 · Aftercare only | $38.02 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $38.90 Typical High $47.86 | Professional | 56 · Pre-op care only | $25.12 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $269.15 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $177.83 | $269.15 | $338.84 |
Where Louisiana sits
The same service costs 4.3 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· 25th of 51
$347
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.