How much rates vary
Facilitymedian $1,445 · 10th to 90th $550 to $3,388Professionalmedian $347 · 10th to 90th $126 to $2,692
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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $288.40 Typical High $524.81 | Professional | None | $117.49 | $288.40 | $524.81 |
BCBS Tennessee Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $3,467.37 | Facility | None | $831.76 | $1,584.89 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $128.82 Median $309.03 Typical High $489.78 | Professional | None | $128.82 | $309.03 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,071.52 Typical High $1,949.84 | Facility | None | $389.05 | $1,071.52 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $275.42 Typical High $467.74 | Professional | None | $138.04 | $275.42 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,691.53 | $2,691.53 | $3,630.78 |
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 $125.89 Median $234.42 Typical High $524.81 | Professional | None | $125.89 | $234.42 | $524.81 |
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 $58.88 Median $131.83 Typical High $263.03 | Professional | 52 · Reduced service | $58.88 | $131.83 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $52.48 Typical High $104.71 | Professional | 53 · Discontinued | $23.44 | $52.48 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $194.98 Typical High $398.11 | Professional | 54 · Surgery only | $87.10 | $194.98 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $38.90 Typical High $79.43 | Professional | 55 · Aftercare only | $17.38 | $38.90 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $26.30 Typical High $52.48 | Professional | 56 · Pre-op care only | $11.75 | $26.30 | $52.48 |
Where Tennessee sits
The same service costs 5.7 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 $4,090MT $722
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.