How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,230 to $21,380Professionalmedian $1,549 · 10th to 90th $1,047 to $8,511
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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,174.90 | $1,819.70 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,288.25 Median $8,317.64 Typical High $21,379.62 | Facility | None | $1,288.25 | $8,317.64 | $21,379.62 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,778.28 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $18,620.87 Typical High $38,904.51 | Facility | None | $1,122.02 | $18,620.87 | $38,904.51 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,995.26 | Professional | None | $1,071.52 | $1,412.54 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $9,120.11 | Professional | None | $8,511.38 | $8,511.38 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,398.83 | Professional | None | $954.99 | $1,258.93 | $2,398.83 |
2 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 54 · Surgery only Typical Low $776.25 Median $812.83 Typical High $1,122.02 | Professional | 54 · Surgery only | $776.25 | $812.83 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $758.58 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $724.44 | $758.58 | $1,047.13 |
Where Tennessee sits
The same service costs 8.5 times more in Wyoming 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.