How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,072 to $5,495Professionalmedian $1,380 · 10th to 90th $933 to $7,586
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 $912.01 Median $1,023.29 Typical High $1,584.89 | Professional | None | $912.01 | $1,023.29 | $1,584.89 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,584.89 | $2,454.71 |
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 $954.99 Median $1,258.93 Typical High $1,778.28 | Professional | None | $954.99 | $1,258.93 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $7,585.78 Median $8,128.31 Typical High $8,128.31 | Professional | None | $7,585.78 | $8,128.31 | $8,128.31 |
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 $851.14 Median $1,148.15 Typical High $2,137.96 | Professional | None | $851.14 | $1,148.15 | $2,137.96 |
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 $691.83 Median $724.44 Typical High $977.24 | Professional | 54 · Surgery only | $691.83 | $724.44 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $676.08 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $645.65 | $676.08 | $912.01 |
Where Tennessee sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.