How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,318 to $15,488Professionalmedian $1,445 · 10th to 90th $1,000 to $10,000
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 $4,168.69 Typical High $26,302.68 | Facility | None | $2,454.71 | $4,168.69 | $26,302.68 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,174.90 | $1,737.80 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,348.96 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,348.96 | $4,897.79 | $10,471.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,148.15 | $1,819.70 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $10,715.19 Typical High $19,498.45 | Facility | None | $602.56 | $10,715.19 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,348.96 | $1,905.46 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $7,079.46 Typical High $13,182.57 | Facility | None | $1,778.28 | $7,079.46 | $13,182.57 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,344.23 | Professional | None | $912.01 | $1,230.27 | $2,344.23 |
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 $501.19 Median $524.81 Typical High $724.44 | Professional | 52 · Reduced service | $501.19 | $524.81 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $288.40 | Professional | 53 · Discontinued | $199.53 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $794.33 Typical High $1,071.52 | Professional | 54 · Surgery only | $741.31 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $213.80 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $104.71 Typical High $144.54 | Professional | 56 · Pre-op care only | $100.00 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $741.31 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $691.83 | $741.31 | $1,000.00 |
Where Tennessee sits
The same service costs 10.4 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 $29,118KY $2,808
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.