How much rates vary
Facilitymedian $2,188 · 10th to 90th $891 to $4,898Professionalmedian $617 · 10th to 90th $347 to $3,890
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 $1,380.38 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,380.38 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $707.95 | Professional | None | $323.59 | $489.78 | $707.95 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,023.29 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,023.29 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $407.38 Median $707.95 Typical High $1,288.25 | Professional | None | $407.38 | $707.95 | $1,288.25 |
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 $331.13 Median $501.19 Typical High $831.76 | Professional | None | $331.13 | $501.19 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,897.79 | Professional | None | $3,890.45 | $3,890.45 | $4,897.79 |
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 $338.84 Median $524.81 Typical High $977.24 | Professional | None | $338.84 | $524.81 | $977.24 |
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 $162.18 Median $245.47 Typical High $346.74 | Professional | 52 · Reduced service | $162.18 | $245.47 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $97.72 Typical High $141.25 | Professional | 53 · Discontinued | $64.57 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $363.08 Typical High $524.81 | Professional | 54 · Surgery only | $239.88 | $363.08 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $72.44 Typical High $104.71 | Professional | 55 · Aftercare only | $47.86 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $48.98 Typical High $70.79 | Professional | 56 · Pre-op care only | $32.36 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $338.84 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $223.87 | $338.84 | $489.78 |
Where Tennessee sits
The same service costs 4.7 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 $6,438MT $1,383
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.