How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,148 to $7,244Professionalmedian $2,042 · 10th to 90th $1,288 to $10,471
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 $2,398.83 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,398.83 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,348.96 | $2,137.96 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,445.44 | $1,862.09 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,311.31 Typical High $6,918.31 | Facility | None | $588.84 | $3,311.31 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,698.24 | $2,570.40 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $10,471.29 | Professional | None | $9,332.54 | $9,332.54 | $10,471.29 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,949.84 | $3,090.30 |
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 $630.96 Median $676.08 Typical High $1,071.52 | Professional | 52 · Reduced service | $630.96 | $676.08 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $269.15 Typical High $426.58 | Professional | 53 · Discontinued | $257.04 | $269.15 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,023.29 Typical High $1,584.89 | Professional | 54 · Surgery only | $954.99 | $1,023.29 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $204.17 Typical High $316.23 | Professional | 55 · Aftercare only | $190.55 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $134.90 Typical High $213.80 | Professional | 56 · Pre-op care only | $128.82 | $134.90 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $954.99 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $891.25 | $954.99 | $1,479.11 |
Where Tennessee sits
The same service costs 6.6 times more in Alabama than in Kentucky. 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
AL $18,462KY $2,797
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.