How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,202 to $8,318Professionalmedian $1,202 · 10th to 90th $759 to $6,607
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 $741.31 Median $812.83 Typical High $1,318.26 | Professional | None | $741.31 | $812.83 | $1,318.26 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $5,248.07 | Facility | None | $1,202.26 | $2,290.87 | $5,248.07 |
BCBS Tennessee Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,995.26 | Professional | None | $891.25 | $1,288.25 | $1,995.26 |
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 $758.58 Median $1,023.29 Typical High $1,479.11 | Professional | None | $758.58 | $1,023.29 | $1,479.11 |
Lucent Health Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,606.93 | Professional | None | $6,165.95 | $6,165.95 | $6,606.93 |
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 $707.95 Median $977.24 Typical High $1,778.28 | Professional | None | $707.95 | $977.24 | $1,778.28 |
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 $371.54 Median $398.11 Typical High $549.54 | Professional | 52 · Reduced service | $371.54 | $398.11 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $223.87 | Professional | 53 · Discontinued | $147.91 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $588.84 Typical High $831.76 | Professional | 54 · Surgery only | $562.34 | $588.84 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $165.96 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $112.20 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $549.54 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $524.81 | $549.54 | $776.25 |
Where Tennessee sits
The same service costs 5.0 times more in Alabama than in Kentucky. 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
AL $11,256KY $2,261
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.