How much rates vary
Facilitymedian $2,692 · 10th to 90th $562 to $8,710Professionalmedian $513 · 10th to 90th $331 to $4,074
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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $549.54 | Professional | None | $331.13 | $416.87 | $549.54 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,122.02 | $4,897.79 | $10,471.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $933.25 | Professional | None | $371.54 | $512.86 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $5,128.61 Typical High $10,715.19 | Facility | None | $389.05 | $5,128.61 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $794.33 | Professional | None | $316.23 | $446.68 | $794.33 |
Lucent Health Setting Professional Modifier None Typical Low $4,073.80 Median $6,025.60 Typical High $6,025.60 | Professional | None | $4,073.80 | $6,025.60 | $6,025.60 |
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 $331.13 Median $537.03 Typical High $891.25 | Professional | None | $331.13 | $537.03 | $891.25 |
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 $162.18 Median $208.93 Typical High $275.42 | Professional | 52 · Reduced service | $162.18 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $109.65 | Professional | 53 · Discontinued | $66.07 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $316.23 Typical High $416.87 | Professional | 54 · Surgery only | $245.47 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $63.10 Typical High $83.18 | Professional | 55 · Aftercare only | $48.98 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $54.95 | Professional | 56 · Pre-op care only | $33.11 | $41.69 | $54.95 |
Where Tennessee sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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 $10,585DE $1,135
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.