How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,288 to $8,913Professionalmedian $1,995 · 10th to 90th $1,318 to $11,749
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 $1,318.26 Median $1,479.11 Typical High $2,290.87 | Professional | None | $1,318.26 | $1,479.11 | $2,290.87 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,513.56 | $2,238.72 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,890.45 Typical High $7,943.28 | Facility | None | $602.56 | $3,890.45 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,778.28 | $2,511.89 |
Lucent Health Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $11,748.98 | Professional | None | $10,715.19 | $10,715.19 | $11,748.98 |
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 $1,000.00 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,000.00 | $1,513.56 | $3,090.30 |
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 $660.69 Median $691.83 Typical High $954.99 | Professional | 52 · Reduced service | $660.69 | $691.83 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $380.19 | Professional | 53 · Discontinued | $263.03 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,047.13 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,000.00 | $1,047.13 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $208.93 Typical High $288.40 | Professional | 55 · Aftercare only | $199.53 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $138.04 Typical High $190.55 | Professional | 56 · Pre-op care only | $131.83 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $977.24 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $933.25 | $977.24 | $1,318.26 |
Where Tennessee sits
The same service costs 5.5 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 $15,938KY $2,890
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.