How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,047 to $7,413Professionalmedian $1,148 · 10th to 90th $759 to $6,761
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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,288.25 | Professional | None | $724.44 | $851.14 | $1,288.25 |
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 $851.14 Median $1,258.93 Typical High $1,949.84 | Professional | None | $851.14 | $1,258.93 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,365.16 Typical High $7,943.28 | Facility | None | $602.56 | $4,365.16 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,380.38 | Professional | None | $758.58 | $977.24 | $1,380.38 |
Lucent Health Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,760.83 | Professional | None | $6,025.60 | $6,025.60 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,737.80 | Professional | None | $691.83 | $912.01 | $1,737.80 |
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 $363.08 Median $389.05 Typical High $524.81 | Professional | 52 · Reduced service | $363.08 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $213.80 | Professional | 53 · Discontinued | $144.54 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $575.44 Typical High $794.33 | Professional | 54 · Surgery only | $549.54 | $575.44 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $114.82 Typical High $158.49 | Professional | 55 · Aftercare only | $109.65 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $107.15 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $537.03 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $512.86 | $537.03 | $741.31 |
Where Tennessee sits
The same service costs 6.3 times more in Alaska than in Texas. 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 $11,332TX $1,794
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.