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 $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $588.84 | Professional | None | $309.03 | $467.74 | $588.84 |
BCBS Louisiana Setting Facility Modifier None Typical Low $302.00 Median $1,995.26 Typical High $5,248.07 | Facility | None | $302.00 | $1,995.26 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $524.81 | Professional | None | $281.84 | $407.38 | $524.81 |
Christus Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $724.44 Typical High $1,548.82 | Facility | None | $269.15 | $724.44 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $416.87 | Professional | None | $239.88 | $323.59 | $416.87 |
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 $213.80 Median $338.84 Typical High $630.96 | Professional | None | $213.80 | $338.84 | $630.96 |
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 $154.88 Median $234.42 Typical High $295.12 | Professional | 52 · Reduced service | $154.88 | $234.42 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $93.33 Typical High $117.49 | Professional | 53 · Discontinued | $61.66 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $354.81 Typical High $446.68 | Professional | 54 · Surgery only | $234.42 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $70.79 Typical High $89.13 | Professional | 55 · Aftercare only | $46.77 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $46.77 Typical High $58.88 | Professional | 56 · Pre-op care only | $30.90 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $331.13 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $218.78 | $331.13 | $416.87 |
Where Louisiana sits
The same service costs 3.9 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· 23rd of 51
$417
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.