How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,230 to $9,333Professionalmedian $955 · 10th to 90th $676 to $6,761
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 $660.69 Median $776.25 Typical High $1,174.90 | Professional | None | $660.69 | $776.25 | $1,174.90 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,819.70 | Professional | None | $776.25 | $1,122.02 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,011.87 Typical High $10,471.29 | Facility | None | $602.56 | $5,011.87 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,258.93 | Professional | None | $691.83 | $891.25 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,548.82 | Professional | None | $630.96 | $831.76 | $1,548.82 |
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 $331.13 Median $354.81 Typical High $489.78 | Professional | 52 · Reduced service | $331.13 | $354.81 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $141.25 Typical High $194.98 | Professional | 53 · Discontinued | $134.90 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $524.81 Typical High $724.44 | Professional | 54 · Surgery only | $501.19 | $524.81 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $104.71 Typical High $147.91 | Professional | 55 · Aftercare only | $100.00 | $104.71 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $70.79 Typical High $97.72 | Professional | 56 · Pre-op care only | $66.07 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $489.78 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $467.74 | $489.78 | $676.08 |
Where Tennessee sits
The same service costs 6.0 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 $14,230MT $2,377
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.