How much rates vary
Facilitymedian $9,550 · 10th to 90th $1,288 to $26,303Professionalmedian $513 · 10th to 90th $355 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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $512.86 | Professional | None | $354.81 | $398.11 | $512.86 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,288.25 Median $7,413.10 Typical High $14,125.38 | Facility | None | $1,288.25 | $7,413.10 | $14,125.38 |
BCBS Tennessee Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $691.83 | Professional | None | $398.11 | $512.86 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $18,197.01 Typical High $33,884.42 | Facility | None | $524.81 | $18,197.01 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $676.08 | Professional | None | $354.81 | $457.09 | $676.08 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $8,511.38 Typical High $8,511.38 | Professional | None | $3,801.89 | $8,511.38 | $8,511.38 |
United Setting Facility Modifier None Typical Low $5,888.44 Median $14,791.08 Typical High $26,915.35 | Facility | None | $5,888.44 | $14,791.08 | $26,915.35 |
United Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $794.33 | Professional | None | $316.23 | $446.68 | $794.33 |
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 $177.83 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $177.83 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $70.79 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $269.15 Typical High $371.54 | Professional | 54 · Surgery only | $263.03 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $35.48 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $251.19 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $245.47 | $251.19 | $346.74 |
Where Tennessee sits
The same service costs 29.4 times more in Alaska than in Montana. 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 $37,066MT $1,262
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.