How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,230 to $8,913Professionalmedian $380 · 10th to 90th $257 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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $389.05 | Professional | None | $251.19 | $275.42 | $389.05 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $630.96 | Professional | None | $263.03 | $354.81 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,467.37 Typical High $7,244.36 | Facility | None | $602.56 | $3,467.37 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $512.86 | Professional | None | $288.40 | $302.00 | $512.86 |
Lucent Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $588.84 | Professional | None | $251.19 | $338.84 | $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 $125.89 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $125.89 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $50.12 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $204.17 Typical High $288.40 | Professional | 54 · Surgery only | $190.55 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $40.74 Typical High $57.54 | Professional | 55 · Aftercare only | $38.02 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $26.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $25.12 | $26.92 | $38.02 |
Where Tennessee sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.