How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,047 to $6,026Professionalmedian $1,230 · 10th to 90th $871 to $7,413
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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,819.70 | Professional | None | $891.25 | $1,000.00 | $1,819.70 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,884.03 | $6,309.57 |
BCBS Tennessee Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,238.72 | Professional | None | $977.24 | $1,318.26 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,235.94 Typical High $5,888.44 | Facility | None | $831.76 | $3,235.94 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,862.09 | Professional | None | $851.14 | $1,071.52 | $1,862.09 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $2,089.30 | Professional | None | $870.96 | $1,258.93 | $2,089.30 |
6 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 $446.68 Median $501.19 Typical High $616.60 | Professional | 52 · Reduced service | $446.68 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $245.47 | Professional | 53 · Discontinued | $177.83 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $758.58 Typical High $933.25 | Professional | 54 · Surgery only | $676.08 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $151.36 Typical High $186.21 | Professional | 55 · Aftercare only | $134.90 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $100.00 Typical High $123.03 | Professional | 56 · Pre-op care only | $89.13 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $707.95 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $630.96 | $707.95 | $870.96 |
Where Tennessee sits
The same service costs 4.1 times more in Alaska 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
AK $9,881DE $2,434
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.