How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,349 to $12,023Professionalmedian $851 · 10th to 90th $562 to $5,012
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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $630.96 Typical High $954.99 | Professional | None | $549.54 | $630.96 | $954.99 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,513.56 | $4,897.79 | $10,471.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,479.11 | Professional | None | $645.65 | $933.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $9,772.37 Typical High $20,892.96 | Facility | None | $741.31 | $9,772.37 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,047.13 | Professional | None | $575.44 | $741.31 | $1,047.13 |
Lucent Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,011.87 | Professional | None | $4,466.84 | $4,466.84 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,918.31 Typical High $10,964.78 | Facility | None | $1,778.28 | $6,918.31 | $10,964.78 |
United Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $1,288.25 | Professional | None | $512.86 | $707.95 | $1,288.25 |
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 $275.42 Median $288.40 Typical High $398.11 | Professional | 52 · Reduced service | $275.42 | $288.40 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $158.49 | Professional | 53 · Discontinued | $109.65 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $426.58 Typical High $588.84 | Professional | 54 · Surgery only | $407.38 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $87.10 Typical High $117.49 | Professional | 55 · Aftercare only | $81.28 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $57.54 Typical High $79.43 | Professional | 56 · Pre-op care only | $54.95 | $57.54 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $398.11 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $380.19 | $398.11 | $549.54 |
Where Tennessee sits
The same service costs 10.1 times more in Alaska 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
AK $19,890MT $1,977
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.