How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,622 to $8,913Professionalmedian $3,162 · 10th to 90th $2,188 to $19,498
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 $2,454.71 Median $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,089.30 | $2,454.71 | $3,235.94 |
BCBS Tennessee Setting Facility Modifier None Typical Low $2,041.74 Median $3,981.07 Typical High $8,317.64 | Facility | None | $2,041.74 | $3,981.07 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,454.71 Median $3,548.13 Typical High $5,623.41 | Professional | None | $2,454.71 | $3,548.13 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,801.89 Typical High $7,943.28 | Facility | None | $588.84 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,073.80 | Professional | None | $2,187.76 | $2,884.03 | $4,073.80 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $20,417.38 | Professional | None | $19,498.45 | $19,498.45 | $20,417.38 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $5,011.87 | Professional | None | $1,949.84 | $2,570.40 | $5,011.87 |
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 $1,047.13 Median $1,122.02 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,047.13 | $1,122.02 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $457.09 Typical High $602.56 | Professional | 53 · Discontinued | $416.87 | $457.09 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,698.24 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,584.89 | $1,698.24 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $338.84 Typical High $457.09 | Professional | 55 · Aftercare only | $316.23 | $338.84 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $229.09 Typical High $302.00 | Professional | 56 · Pre-op care only | $208.93 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,584.89 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,584.89 | $2,137.96 |
Where Tennessee sits
The same service costs 4.0 times more in Alaska 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.