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 $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,096.48 | Professional | None | $812.83 | $870.96 | $1,096.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $5,248.07 | Facility | None | $1,258.93 | $1,995.26 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $891.25 | Professional | None | $724.44 | $831.76 | $891.25 |
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 $645.65 Median $1,071.52 Typical High $1,995.26 | Facility | None | $645.65 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $831.76 | Professional | None | $602.56 | $707.95 | $831.76 |
United Setting Facility Modifier None Typical Low $275.42 Median $660.69 Typical High $2,951.21 | Facility | None | $275.42 | $660.69 | $2,951.21 |
United Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $1,023.29 | Professional | None | $446.68 | $645.65 | $1,023.29 |
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 $407.38 Median $436.52 Typical High $524.81 | Professional | 52 · Reduced service | $407.38 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $162.18 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $660.69 Typical High $776.25 | Professional | 54 · Surgery only | $602.56 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $154.88 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $104.71 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $616.60 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $562.34 | $616.60 | $724.44 |
Where Louisiana sits
The same service costs 7.6 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
$891
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.