How much rates vary
Facilitymedian $1,413 · 10th to 90th $513 to $3,890Professionalmedian $2,042 · 10th to 90th $1,479 to $13,804
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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,238.72 | Professional | None | $1,479.11 | $1,621.81 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,230.27 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,122.02 | $1,230.27 | $1,698.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,148.15 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,148.15 | $1,584.89 |
BCBS Tennessee Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,862.09 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,548.82 | $1,737.80 | $2,691.53 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $13,803.84 Typical High $13,803.84 | Professional | None | $11,748.98 | $13,803.84 | $13,803.84 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,737.80 | $3,388.44 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 22 · Increased work Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 22 · Increased work | $1,288.25 | $1,288.25 | $1,288.25 |
Where Tennessee sits
The same service costs 8.0 times more in Maine than in Texas. 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
ME $18,037TX $2,258
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.