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 $295.12 Median $1,288.25 Typical High $3,467.37 | Facility | None | $295.12 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $316.23 | Professional | None | $147.91 | $234.42 | $316.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $1,258.93 | Facility | None | $208.93 | $288.40 | $1,258.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $295.12 | Professional | None | $141.25 | $208.93 | $295.12 |
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 $151.36 Typical High $281.84 | Facility | None | $75.86 | $151.36 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $389.05 | Professional | None | $134.90 | $218.78 | $389.05 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $128.82 Median $218.78 Typical High $338.84 | Professional | None | $128.82 | $218.78 | $338.84 |
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 $72.44 Median $107.15 Typical High $158.49 | Professional | 52 · Reduced service | $72.44 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $42.66 Typical High $63.10 | Professional | 53 · Discontinued | $29.51 | $42.66 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $162.18 Typical High $239.88 | Professional | 54 · Surgery only | $109.65 | $162.18 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $32.36 Typical High $47.86 | Professional | 55 · Aftercare only | $21.88 | $32.36 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $21.38 Typical High $31.62 | Professional | 56 · Pre-op care only | $14.79 | $21.38 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $151.36 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $102.33 | $151.36 | $223.87 |
Where Louisiana sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 35th of 51
$234
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.