How much rates vary
Facilitymedian $1,660 · 10th to 90th $794 to $4,169Professionalmedian $646 · 10th to 90th $437 to $4,677
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 $436.52 Median $446.68 Typical High $758.58 | Professional | None | $436.52 | $446.68 | $758.58 |
BCBS Tennessee Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $3,467.37 | Facility | None | $831.76 | $1,584.89 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $1,047.13 | Professional | None | $457.09 | $616.60 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,122.02 Typical High $2,041.74 | Facility | None | $389.05 | $1,122.02 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $912.01 | Professional | None | $446.68 | $549.54 | $912.01 |
Lucent Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,677.35 | Professional | None | $3,715.35 | $3,715.35 | $4,677.35 |
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 $398.11 Median $575.44 Typical High $1,047.13 | Professional | None | $398.11 | $575.44 | $1,047.13 |
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 $218.78 Median $223.87 Typical High $323.59 | Professional | 52 · Reduced service | $218.78 | $223.87 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | 53 · Discontinued | $89.13 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $338.84 Typical High $489.78 | Professional | 54 · Surgery only | $331.13 | $338.84 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $67.61 Typical High $97.72 | Professional | 55 · Aftercare only | $66.07 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $44.67 Typical High $64.57 | Professional | 56 · Pre-op care only | $43.65 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $316.23 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $309.03 | $316.23 | $457.09 |
Where Tennessee sits
The same service costs 3.3 times more in Colorado than in Hawaii. 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
CO $5,208HI $1,572
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.