How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,549 to $16,982Professionalmedian $2,399 · 10th to 90th $1,585 to $12,589
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 $2,344.23 Median $4,570.88 Typical High $10,715.19 | Facility | None | $2,344.23 | $4,570.88 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,548.82 | $1,819.70 | $2,754.23 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,659.59 Median $6,309.57 Typical High $12,022.64 | Facility | None | $1,659.59 | $6,309.57 | $12,022.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,862.09 | $2,630.27 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $14,454.40 Typical High $26,915.35 | Facility | None | $588.84 | $14,454.40 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,621.81 | $2,137.96 | $3,019.95 |
Lucent Health Setting Professional Modifier None Typical Low $12,589.25 Median $13,489.63 Typical High $13,489.63 | Professional | None | $12,589.25 | $13,489.63 | $13,489.63 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $9,772.37 Typical High $15,488.17 | Facility | None | $3,630.78 | $9,772.37 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $3,715.35 | Professional | None | $1,479.11 | $2,089.30 | $3,715.35 |
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 $776.25 Median $812.83 Typical High $1,122.02 | Professional | 52 · Reduced service | $776.25 | $812.83 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $331.13 Typical High $446.68 | Professional | 53 · Discontinued | $309.03 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,230.27 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,174.90 | $1,230.27 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $245.47 Typical High $338.84 | Professional | 55 · Aftercare only | $234.42 | $245.47 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $165.96 Typical High $223.87 | Professional | 56 · Pre-op care only | $154.88 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,148.15 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,148.15 | $1,584.89 |
Where Tennessee sits
The same service costs 7.8 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 $31,233KY $3,989
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.