How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,148 to $12,023Professionalmedian $1,096 · 10th to 90th $708 to $6,310
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 $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,202.26 | Professional | None | $691.83 | $831.76 | $1,202.26 |
Ambetter Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $5,495.41 | Facility | None | $1,148.15 | $2,290.87 | $5,495.41 |
BCBS Tennessee Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,862.09 | Professional | None | $812.83 | $1,174.90 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $3,548.13 | Facility | None | $602.56 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,348.96 | Professional | None | $707.95 | $933.25 | $1,348.96 |
Lucent Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,309.57 | Professional | None | $5,888.44 | $5,888.44 | $6,309.57 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $10,000.00 Typical High $15,848.93 | Facility | None | $3,630.78 | $10,000.00 | $15,848.93 |
United Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,621.81 | Professional | None | $660.69 | $912.01 | $1,621.81 |
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 $338.84 Median $363.08 Typical High $524.81 | Professional | 52 · Reduced service | $338.84 | $363.08 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $144.54 Typical High $208.93 | Professional | 53 · Discontinued | $138.04 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $549.54 Typical High $794.33 | Professional | 54 · Surgery only | $512.86 | $549.54 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $109.65 Typical High $158.49 | Professional | 55 · Aftercare only | $102.33 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $104.71 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $512.86 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $478.63 | $512.86 | $741.31 |
Where Tennessee sits
The same service costs 4.3 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 $9,769TX $2,271
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.