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 $575.44 Median $1,862.09 Typical High $3,715.35 | Facility | None | $575.44 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $891.25 | Professional | None | $489.78 | $645.65 | $891.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $6,760.83 | Facility | None | $1,548.82 | $2,691.53 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $851.14 | Professional | None | $467.74 | $630.96 | $851.14 |
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 $1,071.52 Typical High $2,630.27 | Facility | None | $524.81 | $1,071.52 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $1,122.02 | Professional | None | $436.52 | $645.65 | $1,122.02 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $977.24 | Professional | None | $416.87 | $630.96 | $977.24 |
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 $239.88 Median $323.59 Typical High $436.52 | Professional | 52 · Reduced service | $239.88 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $128.82 Typical High $173.78 | Professional | 53 · Discontinued | $97.72 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $478.63 Typical High $660.69 | Professional | 54 · Surgery only | $363.08 | $478.63 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $95.50 Typical High $131.83 | Professional | 55 · Aftercare only | $72.44 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $64.57 Typical High $87.10 | Professional | 56 · Pre-op care only | $48.98 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $446.68 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $338.84 | $446.68 | $616.60 |
Where Louisiana sits
The same service costs 4.1 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· 23rd of 51
$813
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.