How much rates vary
Facilitymedian $12,023 · 10th to 90th $1,585 to $44,668Professionalmedian $1,445 · 10th to 90th $871 to $26,303
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 $4,570.88 Typical High $15,848.93 | Facility | None | $1,380.38 | $4,570.88 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $2,818.38 | Professional | None | $891.25 | $1,202.26 | $2,818.38 |
Ambetter Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,621.81 | Professional | None | $676.08 | $954.99 | $1,621.81 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,584.89 Median $8,317.64 Typical High $21,379.62 | Facility | None | $1,584.89 | $8,317.64 | $21,379.62 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $36,307.81 | Professional | None | $1,023.29 | $1,380.38 | $36,307.81 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $28,840.32 Typical High $50,118.72 | Facility | None | $602.56 | $28,840.32 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,737.80 | Professional | None | $812.83 | $1,202.26 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $26,302.68 Typical High $26,302.68 | Professional | None | $8,128.31 | $26,302.68 | $26,302.68 |
United Setting Facility Modifier None Typical Low $8,912.51 Median $20,892.96 Typical High $58,884.37 | Facility | None | $8,912.51 | $20,892.96 | $58,884.37 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,137.96 | Professional | None | $870.96 | $1,348.96 | $2,137.96 |
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 $446.68 Median $467.74 Typical High $741.31 | Professional | 52 · Reduced service | $446.68 | $467.74 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $186.21 Typical High $295.12 | Professional | 53 · Discontinued | $177.83 | $186.21 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $707.95 Typical High $1,096.48 | Professional | 54 · Surgery only | $660.69 | $707.95 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $141.25 Typical High $218.78 | Professional | 55 · Aftercare only | $131.83 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $93.33 Typical High $147.91 | Professional | 56 · Pre-op care only | $89.13 | $93.33 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $660.69 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $616.60 | $660.69 | $1,023.29 |
Where Tennessee sits
The same service costs 19.9 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 $53,750MT $2,699
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.