How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,622 to $8,913Professionalmedian $3,090 · 10th to 90th $2,138 to $19,055
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 $3,311.31 | Professional | None | $2,089.30 | $2,454.71 | $3,311.31 |
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 $2,137.96 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,137.96 | $2,818.38 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $19,498.45 | Professional | None | $19,054.61 | $19,054.61 | $19,498.45 |
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 $1,905.46 Median $2,570.40 Typical High $4,897.79 | Professional | None | $1,905.46 | $2,570.40 | $4,897.79 |
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 $1,548.82 Median $1,659.59 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,548.82 | $1,659.59 | $2,238.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,548.82 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,548.82 | $2,089.30 |
Where Tennessee sits
The same service costs 4.0 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 $19,545KY $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.