How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,072 to $5,495Professionalmedian $1,698 · 10th to 90th $1,148 to $8,913
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 $1,122.02 Median $1,318.26 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,318.26 | $1,949.84 |
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 $1,318.26 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,318.26 | $1,905.46 | $3,019.95 |
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 $1,148.15 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,513.56 | $2,137.96 |
Lucent Health Setting Professional Modifier None Typical Low $8,912.51 Median $10,000.00 Typical High $10,000.00 | Professional | None | $8,912.51 | $10,000.00 | $10,000.00 |
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 $1,071.52 Median $1,445.44 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,445.44 | $2,630.27 |
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 $831.76 Median $891.25 Typical High $1,202.26 | Professional | 54 · Surgery only | $831.76 | $891.25 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $831.76 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $776.25 | $831.76 | $1,122.02 |
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 $8,759MD $2,608
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.