How much rates vary
Facilitymedian $1,318 · 10th to 90th $537 to $2,884Professionalmedian $245 · 10th to 90th $158 to $1,622
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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $288.40 | Professional | None | $158.49 | $162.18 | $288.40 |
BCBS Tennessee Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $2,754.23 | Facility | None | $575.44 | $1,148.15 | $2,754.23 |
BCBS Tennessee Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $426.58 | Professional | None | $186.21 | $245.47 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $2,187.76 | Facility | None | $524.81 | $1,047.13 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $371.54 | Professional | None | $158.49 | $199.53 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $4,073.80 | Facility | None | $512.86 | $1,445.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $389.05 | Professional | None | $169.82 | $245.47 | $389.05 |
5 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 $77.62 Median $81.28 Typical High $123.03 | Professional | 52 · Reduced service | $77.62 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $48.98 | Professional | 53 · Discontinued | $31.62 | $32.36 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $123.03 Typical High $186.21 | Professional | 54 · Surgery only | $117.49 | $123.03 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $24.55 Typical High $37.15 | Professional | 55 · Aftercare only | $23.44 | $24.55 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $16.22 Typical High $24.55 | Professional | 56 · Pre-op care only | $15.85 | $16.22 | $24.55 |
Where Tennessee sits
The same service costs 9.2 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 $4,822MT $526
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.