How much rates vary
Facilitymedian $1,950 · 10th to 90th $813 to $4,266Professionalmedian $851 · 10th to 90th $575 to $6,026
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 $676.08 Median $2,818.38 Typical High $6,606.93 | Facility | None | $676.08 | $2,818.38 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $977.24 | Professional | None | $512.86 | $676.08 | $977.24 |
BCBS Tennessee Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,548.13 | Facility | None | $870.96 | $1,621.81 | $3,548.13 |
BCBS Tennessee Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,258.93 | Professional | None | $645.65 | $870.96 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $2,691.53 | Facility | None | $602.56 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,202.26 | Professional | None | $549.54 | $707.95 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,585.78 | Professional | None | $6,025.60 | $6,025.60 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,380.38 | Professional | None | $630.96 | $794.33 | $1,380.38 |
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 $257.04 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $257.04 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $102.33 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $501.19 Typical High $660.69 | Professional | 54 · Surgery only | $389.05 | $501.19 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $100.00 Typical High $131.83 | Professional | 55 · Aftercare only | $77.62 | $100.00 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | 56 · Pre-op care only | $51.29 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $467.74 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $363.08 | $467.74 | $616.60 |
Where Tennessee sits
The same service costs 3.1 times more in Alaska than in Maryland. 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.
Physician feeFacility fee
AK $5,990MD $1,938
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.