How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,318 to $8,318Professionalmedian $2,188 · 10th to 90th $1,047 to $13,804
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 $1,905.46 Median $2,951.21 Typical High $7,585.78 | Facility | None | $1,905.46 | $2,951.21 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,047.13 | $1,862.09 | $2,691.53 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $5,011.87 | Professional | None | $1,202.26 | $2,570.40 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,073.80 Typical High $8,511.38 | Facility | None | $831.76 | $4,073.80 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,047.13 | $1,778.28 | $3,235.94 |
Lucent Health Setting Professional Modifier None Typical Low $13,803.84 Median $13,803.84 Typical High $17,782.79 | Professional | None | $13,803.84 | $13,803.84 | $17,782.79 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,709.64 | Facility | None | $1,548.82 | $4,570.88 | $8,709.64 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,905.46 Typical High $3,630.78 | Professional | None | $977.24 | $1,905.46 | $3,630.78 |
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 $524.81 Median $912.01 Typical High $1,348.96 | Professional | 52 · Reduced service | $524.81 | $912.01 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $363.08 Typical High $537.03 | Professional | 53 · Discontinued | $208.93 | $363.08 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,380.38 Typical High $2,041.74 | Professional | 54 · Surgery only | $794.33 | $1,380.38 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $275.42 Typical High $407.38 | Professional | 55 · Aftercare only | $158.49 | $275.42 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $181.97 Typical High $269.15 | Professional | 56 · Pre-op care only | $104.71 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,288.25 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $741.31 | $1,288.25 | $1,905.46 |
Where Tennessee sits
The same service costs 3.7 times more in Alaska 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
AK $13,607KY $3,727
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.