How much rates vary
Facilitymedian $1,585 · 10th to 90th $646 to $3,802Professionalmedian $490 · 10th to 90th $339 to $2,754
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 $707.95 Median $2,818.38 Typical High $7,585.78 | Facility | None | $707.95 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $537.03 | Professional | None | $338.84 | $371.54 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $741.31 | Professional | None | $416.87 | $416.87 | $741.31 |
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 $354.81 Median $436.52 Typical High $812.83 | Professional | None | $354.81 | $436.52 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,230.27 Typical High $6,760.83 | Facility | None | $660.69 | $1,230.27 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $660.69 | Professional | None | $380.19 | $398.11 | $660.69 |
Lucent Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,691.53 | $2,754.23 | $2,754.23 |
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 $331.13 Median $436.52 Typical High $776.25 | Professional | None | $331.13 | $436.52 | $776.25 |
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 $169.82 Median $181.97 Typical High $257.04 | Professional | 52 · Reduced service | $169.82 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $74.13 Typical High $102.33 | Professional | 53 · Discontinued | $69.18 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $275.42 Typical High $389.05 | Professional | 54 · Surgery only | $257.04 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $77.62 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $51.29 |
Where Tennessee sits
The same service costs 5.0 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 $5,749MT $1,151
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.