How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,288 to $7,762Professionalmedian $759 · 10th to 90th $550 to $4,898
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 $524.81 Median $549.54 Typical High $954.99 | Professional | None | $524.81 | $549.54 | $954.99 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,412.54 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,380.38 | Professional | None | $588.84 | $776.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,311.31 Typical High $6,606.93 | Facility | None | $741.31 | $3,311.31 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $1,096.48 | Professional | None | $537.03 | $630.96 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,709.64 | Facility | None | $1,548.82 | $4,570.88 | $8,709.64 |
United Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,288.25 | Professional | None | $537.03 | $741.31 | $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 $263.03 Median $275.42 Typical High $416.87 | Professional | 52 · Reduced service | $263.03 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $109.65 Typical High $165.96 | Professional | 53 · Discontinued | $104.71 | $109.65 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $616.60 | Professional | 54 · Surgery only | $398.11 | $407.38 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $123.03 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $54.95 Typical High $83.18 | Professional | 56 · Pre-op care only | $52.48 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $575.44 |
Where Tennessee sits
The same service costs 5.1 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 $9,478MT $1,867
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.