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 $3,162.28 Typical High $5,370.32 | Facility | None | $891.25 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,348.96 | $1,905.46 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,413.10 Median $9,332.54 Typical High $21,379.62 | Facility | None | $7,413.10 | $9,332.54 | $21,379.62 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,862.09 | $1,862.09 |
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 $5,623.41 Median $8,912.51 Typical High $14,454.40 | Facility | None | $5,623.41 | $8,912.51 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,479.11 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $14,125.38 | Facility | None | $1,348.96 | $3,801.89 | $14,125.38 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,230.27 | $2,041.74 |
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 $645.65 Median $660.69 Typical High $831.76 | Professional | 52 · Reduced service | $645.65 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $331.13 | Professional | 53 · Discontinued | $263.03 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,174.90 |
Where Louisiana sits
The same service costs 8.9 times more in Oklahoma 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· 7th of 51
$2,818
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.