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 $891.25 Median $2,951.21 Typical High $5,370.32 | Facility | None | $891.25 | $2,951.21 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,412.54 | Professional | None | $954.99 | $1,071.52 | $1,412.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $11,481.54 | Facility | None | $3,311.31 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,202.26 | Professional | None | $912.01 | $1,096.48 | $1,202.26 |
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 $933.25 Median $1,862.09 Typical High $5,248.07 | Facility | None | $933.25 | $1,862.09 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,621.81 | Professional | None | $660.69 | $1,000.00 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,659.59 | Professional | None | $758.58 | $1,000.00 | $1,659.59 |
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 $478.63 Median $537.03 Typical High $660.69 | Professional | 52 · Reduced service | $478.63 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $213.80 Typical High $263.03 | Professional | 53 · Discontinued | $190.55 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $812.83 Typical High $977.24 | Professional | 54 · Surgery only | $707.95 | $812.83 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $144.54 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $107.15 Typical High $131.83 | Professional | 56 · Pre-op care only | $95.50 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $758.58 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $660.69 | $758.58 | $912.01 |
Where Louisiana sits
The same service costs 7.2 times more in Alaska than in Texas. 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· 17th of 51
$1,622
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.