How much rates vary
Facilitymedian $1,549 · 10th to 90th $603 to $3,388Professionalmedian $324 · 10th to 90th $200 to $2,512
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 $1,071.52 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $407.38 | Professional | None | $173.78 | $269.15 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
BCBS Tennessee Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,467.37 | Facility | None | $870.96 | $1,621.81 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $478.63 | Professional | None | $234.42 | $316.23 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,318.26 Typical High $2,454.71 | Facility | None | $524.81 | $1,318.26 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $489.78 | Professional | None | $181.97 | $281.84 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,162.28 | Professional | None | $2,454.71 | $2,511.89 | $3,162.28 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $537.03 | Professional | None | $218.78 | $323.59 | $537.03 |
5 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 $87.10 Median $134.90 Typical High $181.97 | Professional | 52 · Reduced service | $87.10 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $53.70 Typical High $72.44 | Professional | 53 · Discontinued | $34.67 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $199.53 Typical High $275.42 | Professional | 54 · Surgery only | $131.83 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $40.74 Typical High $54.95 | Professional | 55 · Aftercare only | $26.30 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $26.92 Typical High $36.31 | Professional | 56 · Pre-op care only | $17.38 | $26.92 | $36.31 |
Where Tennessee sits
The same service costs 6.1 times more in Michigan than in Montana. 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
MI $4,783MT $790
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.