How much rates vary
Facilitymedian $1,820 · 10th to 90th $741 to $4,571Professionalmedian $1,445 · 10th to 90th $912 to $7,413
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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,659.59 | Professional | None | $912.01 | $912.01 | $1,659.59 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,479.11 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $5,248.07 | Facility | None | $1,000.00 | $1,584.89 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,995.26 | Professional | None | $954.99 | $1,230.27 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $8,511.38 Typical High $8,511.38 | Professional | None | $7,413.10 | $8,511.38 | $8,511.38 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,412.54 | $2,290.87 |
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 $676.08 Median $691.83 Typical High $1,202.26 | Professional | 54 · Surgery only | $676.08 | $691.83 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $645.65 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $630.96 | $645.65 | $1,122.02 |
Where Tennessee sits
The same service costs 3.4 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 $7,428KY $2,193
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.