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 $186.21 Median $1,258.93 Typical High $3,467.37 | Facility | None | $186.21 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $208.93 | Professional | None | $147.91 | $169.82 | $208.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $630.96 | Facility | None | $109.65 | $275.42 | $630.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $190.55 | Professional | None | $134.90 | $162.18 | $190.55 |
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 $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $162.18 | Professional | None | $120.23 | $134.90 | $162.18 |
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 $95.50 Median $125.89 Typical High $213.80 | Professional | None | $95.50 | $125.89 | $213.80 |
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 $74.13 Median $89.13 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $35.48 Typical High $41.69 | Professional | 53 · Discontinued | $29.51 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $134.90 Typical High $158.49 | Professional | 54 · Surgery only | $112.20 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $26.92 Typical High $31.62 | Professional | 55 · Aftercare only | $22.39 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $17.78 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.79 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $125.89 Typical High $147.91 | Professional | 78 · Unplanned return to OR | $104.71 | $125.89 | $147.91 |
Where Louisiana sits
The same service costs 4.4 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· 23rd of 51
$158
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.