How much rates vary
Facilitymedian $1,349 · 10th to 90th $575 to $2,884Professionalmedian $1,023 · 10th to 90th $661 to $6,026
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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,148.15 | Professional | None | $645.65 | $758.58 | $1,148.15 |
BCBS Tennessee Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $2,754.23 | Facility | None | $575.44 | $1,148.15 | $2,754.23 |
BCBS Tennessee Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,778.28 | Professional | None | $776.25 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $2,691.53 | Facility | None | $602.56 | $1,122.02 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,258.93 | Professional | None | $660.69 | $891.25 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,025.60 | Professional | None | $5,248.07 | $5,248.07 | $6,025.60 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,548.82 | Professional | None | $630.96 | $851.14 | $1,548.82 |
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 $323.59 Median $346.74 Typical High $467.74 | Professional | 52 · Reduced service | $323.59 | $346.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $128.82 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $512.86 Typical High $707.95 | Professional | 54 · Surgery only | $489.78 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $102.33 Typical High $141.25 | Professional | 55 · Aftercare only | $97.72 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $69.18 Typical High $93.33 | Professional | 56 · Pre-op care only | $64.57 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $478.63 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $457.09 | $478.63 | $660.69 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.