How much rates vary
Facilitymedian $1,549 · 10th to 90th $617 to $3,388Professionalmedian $224 · 10th to 90th $166 to $2,570
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 $165.96 Median $177.83 Typical High $257.04 | Professional | None | $165.96 | $177.83 | $257.04 |
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 $173.78 Median $208.93 Typical High $389.05 | Professional | None | $173.78 | $208.93 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $2,187.76 | Facility | None | $524.81 | $1,096.48 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $316.23 | Professional | None | $186.21 | $194.98 | $316.23 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $162.18 Median $213.80 Typical High $380.19 | Professional | None | $162.18 | $213.80 | $380.19 |
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 $83.18 Median $89.13 Typical High $125.89 | Professional | 52 · Reduced service | $83.18 | $89.13 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $50.12 | Professional | 53 · Discontinued | $33.11 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $131.83 Typical High $186.21 | Professional | 54 · Surgery only | $123.03 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.30 Typical High $37.15 | Professional | 55 · Aftercare only | $24.55 | $26.30 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $17.78 Typical High $25.12 | Professional | 56 · Pre-op care only | $16.60 | $17.78 | $25.12 |
Where Tennessee sits
The same service costs 7.3 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 $4,136MT $564
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.