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 $676.08 Median $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,230.27 | $1,318.26 | $1,659.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $6,025.60 | Facility | None | $1,258.93 | $1,995.26 | $6,025.60 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,412.54 | Professional | None | $1,122.02 | $1,230.27 | $1,412.54 |
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 $524.81 Median $954.99 Typical High $1,905.46 | Facility | None | $524.81 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,202.26 | Professional | None | $912.01 | $1,096.48 | $1,202.26 |
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 $691.83 Median $954.99 Typical High $1,513.56 | Professional | None | $691.83 | $954.99 | $1,513.56 |
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 $616.60 Median $660.69 Typical High $794.33 | Professional | 52 · Reduced service | $616.60 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $263.03 Typical High $316.23 | Professional | 53 · Discontinued | $245.47 | $263.03 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,000.00 Typical High $1,174.90 | Professional | 54 · Surgery only | $933.25 | $1,000.00 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $199.53 Typical High $234.42 | Professional | 55 · Aftercare only | $186.21 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $131.83 Typical High $158.49 | Professional | 56 · Pre-op care only | $123.03 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $933.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $870.96 | $933.25 | $1,096.48 |
Where Louisiana sits
The same service costs 7.4 times more in Alaska 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
$1,288
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.