How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,549 to $8,710Professionalmedian $1,349 · 10th to 90th $912 to $7,244
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 $3,388.44 Typical High $7,585.78 | Facility | None | $1,819.70 | $3,388.44 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,548.82 | Professional | None | $870.96 | $1,023.29 | $1,548.82 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $912.01 Typical High $912.01 | Professional | None | $562.34 | $912.01 | $912.01 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,513.56 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,365.16 Typical High $7,943.28 | Facility | None | $812.83 | $4,365.16 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,737.80 | Professional | None | $912.01 | $1,174.90 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $7,244.36 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,244.36 | $7,943.28 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $2,089.30 | Professional | None | $831.76 | $1,174.90 | $2,089.30 |
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 $660.69 Median $691.83 Typical High $954.99 | Professional | 54 · Surgery only | $660.69 | $691.83 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $645.65 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $616.60 | $645.65 | $891.25 |
Where Tennessee sits
The same service costs 4.7 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 $14,902MT $3,170
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.