How much rates vary
Facilitymedian $2,089 · 10th to 90th $562 to $6,457Professionalmedian $617 · 10th to 90th $191 to $5,012
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 $1,148.15 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,148.15 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $616.60 Typical High $1,023.29 | Professional | None | $181.97 | $616.60 | $1,023.29 |
BCBS Tennessee Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $5,128.61 | Facility | None | $933.25 | $1,905.46 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $218.78 Median $616.60 Typical High $1,071.52 | Professional | None | $218.78 | $616.60 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $1,659.59 | Facility | None | $398.11 | $602.56 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $1,071.52 | Professional | None | $190.55 | $436.52 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,011.87 | $5,248.07 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $8,709.64 | Facility | None | $1,202.26 | $3,801.89 | $8,709.64 |
United Setting Professional Modifier None Typical Low $199.53 Median $549.54 Typical High $1,258.93 | Professional | None | $199.53 | $549.54 | $1,258.93 |
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 $89.13 Median $162.18 Typical High $512.86 | Professional | 52 · Reduced service | $89.13 | $162.18 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $66.07 Typical High $204.17 | Professional | 53 · Discontinued | $36.31 | $66.07 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $245.47 Typical High $776.25 | Professional | 54 · Surgery only | $134.90 | $245.47 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $48.98 Typical High $154.88 | Professional | 55 · Aftercare only | $26.92 | $48.98 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $33.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $18.20 | $33.11 | $102.33 |
Where Tennessee sits
The same service costs 6.9 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 $7,377MT $1,063
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.