How much rates vary
Facilitymedian $2,188 · 10th to 90th $912 to $4,898Professionalmedian $468 · 10th to 90th $257 to $2,884
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 $234.42 Median $363.08 Typical High $524.81 | Professional | None | $234.42 | $363.08 | $524.81 |
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 $302.00 Median $524.81 Typical High $954.99 | Professional | None | $302.00 | $524.81 | $954.99 |
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 $245.47 Median $371.54 Typical High $630.96 | Professional | None | $245.47 | $371.54 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,884.03 | $2,884.03 | $3,388.44 |
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 $245.47 Median $389.05 Typical High $724.44 | Professional | None | $245.47 | $389.05 | $724.44 |
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 $117.49 Median $181.97 Typical High $263.03 | Professional | 52 · Reduced service | $117.49 | $181.97 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $104.71 | Professional | 53 · Discontinued | $46.77 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $275.42 Typical High $389.05 | Professional | 54 · Surgery only | $177.83 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $54.95 Typical High $79.43 | Professional | 55 · Aftercare only | $35.48 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $36.31 Typical High $52.48 | Professional | 56 · Pre-op care only | $23.44 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $257.04 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $165.96 | $257.04 | $363.08 |
Where Tennessee sits
The same service costs 6.3 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 $1,002
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.