How much rates vary
Facilitymedian $1,549 · 10th to 90th $617 to $3,388Professionalmedian $316 · 10th to 90th $186 to $2,138
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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $281.84 | Professional | None | $181.97 | $204.17 | $281.84 |
BCBS Tennessee Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,467.37 | Facility | None | $870.96 | $1,621.81 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $549.54 | Professional | None | $194.98 | $295.12 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $2,187.76 | Facility | None | $524.81 | $1,122.02 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $489.78 | Professional | None | $213.80 | $239.88 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,995.26 | $2,137.96 | $2,137.96 |
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 $186.21 Median $257.04 Typical High $512.86 | Professional | None | $186.21 | $257.04 | $512.86 |
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 $91.20 Median $97.72 Typical High $141.25 | Professional | 52 · Reduced service | $91.20 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $56.23 | Professional | 53 · Discontinued | $36.31 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $147.91 Typical High $208.93 | Professional | 54 · Surgery only | $134.90 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $29.51 Typical High $41.69 | Professional | 55 · Aftercare only | $26.92 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.50 Typical High $28.18 | Professional | 56 · Pre-op care only | $18.20 | $19.50 | $28.18 |
Where Tennessee sits
The same service costs 6.8 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 $4,179MT $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.