How much rates vary
Facilitymedian $1,096 · 10th to 90th $501 to $2,884Professionalmedian $1,096 · 10th to 90th $117 to $8,511
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 $812.83 Median $2,290.87 Typical High $6,606.93 | Facility | None | $812.83 | $2,290.87 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $912.01 Typical High $1,737.80 | Professional | None | $107.15 | $912.01 | $1,737.80 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
BCBS Tennessee Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $2,570.40 | Facility | None | $524.81 | $1,122.02 | $2,570.40 |
BCBS Tennessee Setting Professional Modifier None Typical Low $123.03 Median $707.95 Typical High $1,621.81 | Professional | None | $123.03 | $707.95 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $5,248.07 | Facility | None | $602.56 | $977.24 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $371.54 Typical High $1,513.56 | Professional | None | $125.89 | $371.54 | $1,513.56 |
Lucent Health Setting Professional Modifier None Typical Low $8,511.38 Median $10,471.29 Typical High $10,471.29 | Professional | None | $8,511.38 | $10,471.29 | $10,471.29 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $2,511.89 | Facility | None | $346.74 | $1,047.13 | $2,511.89 |
United Setting Professional Modifier None Typical Low $114.82 Median $870.96 Typical High $1,698.24 | Professional | None | $114.82 | $870.96 | $1,698.24 |
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 $53.70 Median $208.93 Typical High $870.96 | Professional | 52 · Reduced service | $53.70 | $208.93 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $158.49 Typical High $346.74 | Professional | 53 · Discontinued | $21.88 | $158.49 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $316.23 Typical High $1,288.25 | Professional | 54 · Surgery only | $81.28 | $316.23 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $117.49 Typical High $263.03 | Professional | 55 · Aftercare only | $16.22 | $117.49 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $79.43 Typical High $173.78 | Professional | 56 · Pre-op care only | $10.72 | $79.43 | $173.78 |
Where Tennessee sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.