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 $204.17 Median $1,258.93 Typical High $3,467.37 | Facility | None | $204.17 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $239.88 | Professional | None | $151.36 | $190.55 | $239.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $275.42 Typical High $630.96 | Facility | None | $123.03 | $275.42 | $630.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | None | $134.90 | $165.96 | $208.93 |
Christus Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $162.18 | Facility | None | $75.86 | $100.00 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $181.97 | Professional | None | $117.49 | $144.54 | $181.97 |
United Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $1,202.26 | Facility | None | $91.20 | $389.05 | $1,202.26 |
United Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $263.03 | Professional | None | $102.33 | $141.25 | $263.03 |
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 $75.86 Median $95.50 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $30.20 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $141.25 Typical High $177.83 | Professional | 54 · Surgery only | $112.20 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $28.18 Typical High $35.48 | Professional | 55 · Aftercare only | $22.39 | $28.18 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $19.05 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.14 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $131.83 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $104.71 | $131.83 | $165.96 |
Where Louisiana sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 28th of 51
$162
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.