How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,230 to $7,762Professionalmedian $1,122 · 10th to 90th $741 to $6,166
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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,122.02 | Professional | None | $707.95 | $741.31 | $1,122.02 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,862.09 | Professional | None | $794.33 | $1,047.13 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $6,606.93 | Facility | None | $602.56 | $3,090.30 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,479.11 | Professional | None | $707.95 | $851.14 | $1,479.11 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,165.95 | Professional | None | $5,754.40 | $5,754.40 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,548.82 | $4,570.88 | $8,912.51 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,737.80 | Professional | None | $724.44 | $1,047.13 | $1,737.80 |
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 $354.81 Median $371.54 Typical High $562.34 | Professional | 52 · Reduced service | $354.81 | $371.54 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $223.87 | Professional | 53 · Discontinued | $141.25 | $147.91 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $549.54 Typical High $831.76 | Professional | 54 · Surgery only | $537.03 | $549.54 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $109.65 Typical High $165.96 | Professional | 55 · Aftercare only | $107.15 | $109.65 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $74.13 Typical High $112.20 | Professional | 56 · Pre-op care only | $70.79 | $74.13 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $512.86 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $501.19 | $512.86 | $776.25 |
Where Tennessee sits
The same service costs 4.2 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 $10,315MT $2,461
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.