How much rates vary
Facilitymedian $2,399 · 10th to 90th $589 to $8,710Professionalmedian $1,778 · 10th to 90th $1,230 to $9,550
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,258.93 | $1,778.28 |
Ambetter Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $1,380.38 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,380.38 | $1,819.70 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,148.15 Typical High $2,691.53 | Facility | None | $562.34 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,398.83 | Professional | None | $977.24 | $1,479.11 | $2,398.83 |
Lucent Health Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $12,022.64 | Professional | None | $9,549.93 | $9,549.93 | $12,022.64 |
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 $1,047.13 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,047.13 | $1,698.24 | $2,951.21 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $870.96 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $851.14 | $870.96 | $1,258.93 |
Where Tennessee sits
The same service costs 5.7 times more in Alaska than in Kentucky. 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 $13,752KY $2,420
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.