How much rates vary
Facilitymedian $661 · 10th to 90th $100 to $3,236Professionalmedian $380 · 10th to 90th $240 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 $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 $239.88 Typical High $331.13 | Professional | None | $229.09 | $239.88 | $331.13 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,584.89 | Facility | None | $50.12 | $138.04 | $1,584.89 |
BCBS Tennessee Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $616.60 | Professional | None | $269.15 | $363.08 | $616.60 |
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 $281.84 Median $331.13 Typical High $537.03 | Professional | None | $281.84 | $331.13 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $3,162.28 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,162.28 | $4,265.80 | $4,265.80 |
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 $251.19 Median $363.08 Typical High $588.84 | Professional | None | $251.19 | $363.08 | $588.84 |
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 $112.20 Median $120.23 Typical High $165.96 | Professional | 52 · Reduced service | $112.20 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $66.07 | Professional | 53 · Discontinued | $45.71 | $47.86 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $177.83 Typical High $245.47 | Professional | 54 · Surgery only | $169.82 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $35.48 Typical High $50.12 | Professional | 55 · Aftercare only | $33.88 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.99 Typical High $33.11 | Professional | 56 · Pre-op care only | $22.91 | $23.99 | $33.11 |
Where Tennessee sits
The same service costs 32.0 times more in Maine 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
ME $26,674MT $834
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.