How much rates vary
Facilitymedian $2,692 · 10th to 90th $676 to $7,244Professionalmedian $1,549 · 10th to 90th $1,096 to $9,772
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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,202.26 | $1,905.46 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,715.35 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,258.93 | $1,862.09 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,786.30 Typical High $10,232.93 | Facility | None | $588.84 | $4,786.30 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,479.11 | $2,089.30 |
Lucent Health Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | None | $9,772.37 | $9,772.37 | $9,772.37 |
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 $1,000.00 Median $1,348.96 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,348.96 | $2,570.40 |
2 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 54 · Surgery only Typical Low $812.83 Median $851.14 Typical High $1,174.90 | Professional | 54 · Surgery only | $812.83 | $851.14 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $794.33 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $758.58 | $794.33 | $1,096.48 |
Where Tennessee sits
The same service costs 5.9 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 $12,256TX $2,071
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.