How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,072 to $5,495Professionalmedian $2,089 · 10th to 90th $1,413 to $11,220
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 $1,380.38 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,380.38 | $1,584.89 | $2,398.83 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,137.96 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,621.81 | $2,344.23 | $3,715.35 |
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 $1,412.54 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,862.09 | $2,630.27 |
Lucent Health Setting Professional Modifier None Typical Low $11,220.18 Median $12,589.25 Typical High $12,589.25 | Professional | None | $11,220.18 | $12,589.25 | $12,589.25 |
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 $1,318.26 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,318.26 | $1,778.28 | $3,235.94 |
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 $1,023.29 Median $1,096.48 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,023.29 | $1,096.48 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,023.29 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $954.99 | $1,023.29 | $1,380.38 |
Where Tennessee sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $9,940MD $2,898
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.