How much rates vary
Facilitymedian $1,778 · 10th to 90th $100 to $9,333Professionalmedian $1,023 · 10th to 90th $724 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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,230.27 | Professional | None | $707.95 | $776.25 | $1,230.27 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $3,162.28 | Facility | None | $50.12 | $138.04 | $3,162.28 |
BCBS Tennessee Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,905.46 | Professional | None | $831.76 | $1,230.27 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,148.15 Typical High $3,090.30 | Facility | None | $562.34 | $1,148.15 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,412.54 | Professional | None | $724.44 | $954.99 | $1,412.54 |
Lucent Health Setting Professional Modifier None Typical Low $13,803.84 Median $13,803.84 Typical High $13,803.84 | Professional | None | $13,803.84 | $13,803.84 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $13,803.84 | Facility | None | $1,778.28 | $6,025.60 | $13,803.84 |
United Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,698.24 | Professional | None | $676.08 | $933.25 | $1,698.24 |
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 $354.81 Median $371.54 Typical High $512.86 | Professional | 52 · Reduced service | $354.81 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $204.17 | Professional | 53 · Discontinued | $141.25 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $758.58 | Professional | 54 · Surgery only | $524.81 | $562.34 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $151.36 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $75.86 Typical High $102.33 | Professional | 56 · Pre-op care only | $70.79 | $75.86 | $102.33 |
Where Tennessee sits
The same service costs 4.6 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 $9,843KY $2,122
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.