How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,000 to $5,495Professionalmedian $550 · 10th to 90th $372 to $3,020
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 $707.95 Median $2,818.38 Typical High $7,585.78 | Facility | None | $707.95 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $660.69 | Professional | None | $363.08 | $457.09 | $660.69 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $5,128.61 | Facility | None | $1,000.00 | $1,995.26 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $1,000.00 | Professional | None | $436.52 | $630.96 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,621.81 Typical High $6,760.83 | Facility | None | $933.25 | $1,621.81 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $707.95 | Professional | None | $380.19 | $489.78 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,019.95 | $3,548.13 | $3,548.13 |
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 $346.74 Median $467.74 Typical High $870.96 | Professional | None | $346.74 | $467.74 | $870.96 |
3 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 $275.42 Median $295.12 Typical High $398.11 | Professional | 54 · Surgery only | $275.42 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $275.42 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $257.04 | $275.42 | $371.54 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 79 · Unrelated procedure after surgery | $501.19 | $501.19 | $501.19 |
Where Tennessee sits
The same service costs 4.9 times more in Colorado than in Montana. 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
CO $6,755MT $1,384
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.