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 $389.05 Median $1,513.56 Typical High $3,548.13 | Facility | None | $389.05 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $281.84 | Professional | None | $128.82 | $208.93 | $281.84 |
BCBS Louisiana Setting Facility Modifier None Typical Low $194.98 Median $1,380.38 Typical High $4,265.80 | Facility | None | $194.98 | $1,380.38 | $4,265.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $269.15 | Professional | None | $128.82 | $190.55 | $269.15 |
Christus Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $524.81 Typical High $1,174.90 | Facility | None | $181.97 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $354.81 | Professional | None | $120.23 | $199.53 | $354.81 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $295.12 | Professional | None | $117.49 | $194.98 | $295.12 |
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 $64.57 Median $95.50 Typical High $141.25 | Professional | 52 · Reduced service | $64.57 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $38.02 Typical High $56.23 | Professional | 53 · Discontinued | $26.30 | $38.02 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $144.54 Typical High $208.93 | Professional | 54 · Surgery only | $97.72 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $28.84 Typical High $42.66 | Professional | 55 · Aftercare only | $19.50 | $28.84 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $19.05 Typical High $28.18 | Professional | 56 · Pre-op care only | $12.88 | $19.05 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $134.90 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $91.20 | $134.90 | $194.98 |
Where Louisiana sits
The same service costs 3.9 times more in Oklahoma 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· 29th of 51
$229
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.