How much rates vary
Facilitymedian $1,445 · 10th to 90th $575 to $3,236Professionalmedian $316 · 10th to 90th $186 to $4,266
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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $257.04 | Professional | None | $173.78 | $186.21 | $257.04 |
BCBS Tennessee Setting Facility Modifier None Typical Low $575.44 Median $1,348.96 Typical High $2,884.03 | Facility | None | $575.44 | $1,348.96 | $2,884.03 |
BCBS Tennessee Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $478.63 | Professional | None | $213.80 | $295.12 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $2,691.53 | Facility | None | $588.84 | $1,071.52 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $478.63 | Professional | None | $213.80 | $263.03 | $478.63 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,168.69 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $190.55 Median $323.59 Typical High $478.63 | Professional | None | $190.55 | $323.59 | $478.63 |
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 $87.10 Median $91.20 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $91.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $37.15 Typical High $51.29 | Professional | 53 · Discontinued | $34.67 | $37.15 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $138.04 Typical High $190.55 | Professional | 54 · Surgery only | $131.83 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $27.54 Typical High $38.02 | Professional | 55 · Aftercare only | $26.30 | $27.54 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.62 Typical High $25.70 | Professional | 56 · Pre-op care only | $17.38 | $18.62 | $25.70 |
Where Tennessee sits
The same service costs 7.6 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 $4,681MT $618
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.