How much rates vary
Facilitymedian $1,413 · 10th to 90th $513 to $3,890Professionalmedian $355 · 10th to 90th $229 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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $501.19 | Professional | None | $229.09 | $269.15 | $501.19 |
BCBS Tennessee Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
BCBS Tennessee Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $549.54 | Professional | None | $257.04 | $331.13 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $478.63 | Professional | None | $208.93 | $316.23 | $478.63 |
Lucent Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,621.81 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $549.54 | Professional | None | $223.87 | $354.81 | $549.54 |
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 $114.82 Median $120.23 Typical High $190.55 | Professional | 52 · Reduced service | $114.82 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $75.86 | Professional | 53 · Discontinued | $45.71 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $181.97 Typical High $281.84 | Professional | 54 · Surgery only | $169.82 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $36.31 Typical High $56.23 | Professional | 55 · Aftercare only | $33.88 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.99 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.91 | $23.99 | $38.02 |
Where Tennessee sits
The same service costs 7.3 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 $5,199MT $710
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.