How much rates vary
Facilitymedian $3,020 · 10th to 90th $977 to $7,586Professionalmedian $1,047 · 10th to 90th $661 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 $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 $616.60 Median $812.83 Typical High $1,148.15 | Professional | None | $616.60 | $812.83 | $1,148.15 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $8,317.64 | Facility | None | $1,288.25 | $3,388.44 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $2,041.74 | Professional | None | $776.25 | $1,202.26 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,495.41 Typical High $11,481.54 | Facility | None | $602.56 | $5,495.41 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,412.54 | Professional | None | $660.69 | $891.25 | $1,412.54 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $8,128.31 | Professional | None | $6,606.93 | $6,606.93 | $8,128.31 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,754.23 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,754.23 | $5,128.61 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,621.81 | Professional | None | $602.56 | $851.14 | $1,621.81 |
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 $309.03 Median $389.05 Typical High $562.34 | Professional | 52 · Reduced service | $309.03 | $389.05 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $158.49 Typical High $223.87 | Professional | 53 · Discontinued | $123.03 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $588.84 Typical High $831.76 | Professional | 54 · Surgery only | $467.74 | $588.84 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $117.49 Typical High $165.96 | Professional | 55 · Aftercare only | $93.33 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $79.43 Typical High $112.20 | Professional | 56 · Pre-op care only | $61.66 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $549.54 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $436.52 | $549.54 | $776.25 |
Where Tennessee sits
The same service costs 6.2 times more in Alaska than in Delaware. 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 $13,849DE $2,220
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.