How much rates vary
Facilitymedian $1,549 · 10th to 90th $617 to $3,388Professionalmedian $355 · 10th to 90th $257 to $2,344
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 $257.04 Median $281.84 Typical High $398.11 | Professional | None | $257.04 | $281.84 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | None | $371.54 | $371.54 | $407.38 |
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 $269.15 Median $331.13 Typical High $602.56 | Professional | None | $269.15 | $331.13 | $602.56 |
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 $281.84 Median $302.00 Typical High $489.78 | Professional | None | $281.84 | $302.00 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $251.19 Median $331.13 Typical High $588.84 | Professional | None | $251.19 | $331.13 | $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 $128.82 Median $138.04 Typical High $194.98 | Professional | 52 · Reduced service | $128.82 | $138.04 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $77.62 | Professional | 53 · Discontinued | $51.29 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $208.93 Typical High $295.12 | Professional | 54 · Surgery only | $194.98 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $58.88 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $27.54 Typical High $38.90 | Professional | 56 · Pre-op care only | $25.70 | $27.54 | $38.90 |
Where Tennessee sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.