How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,148 to $7,586Professionalmedian $933 · 10th to 90th $603 to $5,888
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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,023.29 | Professional | None | $575.44 | $676.08 | $1,023.29 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,412.54 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,584.89 | Professional | None | $691.83 | $1,000.00 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,801.89 Typical High $7,943.28 | Facility | None | $741.31 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,148.15 | Professional | None | $602.56 | $776.25 | $1,148.15 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,754.40 | $5,888.44 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,380.38 | Professional | None | $549.54 | $741.31 | $1,380.38 |
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 $288.40 Median $316.23 Typical High $426.58 | Professional | 52 · Reduced service | $288.40 | $316.23 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $125.89 Typical High $173.78 | Professional | 53 · Discontinued | $117.49 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $478.63 Typical High $645.65 | Professional | 54 · Surgery only | $436.52 | $478.63 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $95.50 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $63.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $57.54 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $446.68 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $407.38 | $446.68 | $602.56 |
Where Tennessee sits
The same service costs 4.8 times more in Alaska than in Montana. 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 $10,454MT $2,169
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.