How much rates vary
Facilitymedian $2,138 · 10th to 90th $871 to $4,786Professionalmedian $490 · 10th to 90th $269 to $2,818
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 $1,071.52 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $562.34 | Professional | None | $251.19 | $398.11 | $562.34 |
BCBS Tennessee Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $5,128.61 | Facility | None | $977.24 | $1,995.26 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $323.59 Median $562.34 Typical High $1,047.13 | Professional | None | $323.59 | $562.34 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,949.84 Typical High $3,548.13 | Facility | None | $524.81 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $645.65 | Professional | None | $239.88 | $371.54 | $645.65 |
Lucent Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,235.94 | Professional | None | $2,818.38 | $2,818.38 | $3,235.94 |
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 $263.03 Median $426.58 Typical High $758.58 | Professional | None | $263.03 | $426.58 | $758.58 |
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 $125.89 Median $199.53 Typical High $281.84 | Professional | 52 · Reduced service | $125.89 | $199.53 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $79.43 Typical High $114.82 | Professional | 53 · Discontinued | $51.29 | $79.43 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $295.12 Typical High $426.58 | Professional | 54 · Surgery only | $190.55 | $295.12 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $58.88 Typical High $85.11 | Professional | 55 · Aftercare only | $38.02 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $39.81 Typical High $56.23 | Professional | 56 · Pre-op care only | $25.12 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $275.42 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $177.83 | $275.42 | $398.11 |
Where Tennessee sits
The same service costs 6.1 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 $6,296MT $1,039
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.