How much rates vary
Facilitymedian $1,514 · 10th to 90th $513 to $4,266Professionalmedian $1,862 · 10th to 90th $1,259 to $12,589
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 $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,380.38 | $1,862.09 |
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 $1,862.09 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,862.09 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,122.02 Typical High $6,760.83 | Facility | None | $512.86 | $1,122.02 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,621.81 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $12,589.25 | Professional | None | $10,715.19 | $10,715.19 | $12,589.25 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,479.11 | $2,754.23 |
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 $630.96 Median $645.65 Typical High $891.25 | Professional | 52 · Reduced service | $630.96 | $645.65 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $257.04 Typical High $354.81 | Professional | 53 · Discontinued | $251.19 | $257.04 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $977.24 Typical High $1,318.26 | Professional | 54 · Surgery only | $933.25 | $977.24 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $194.98 Typical High $263.03 | Professional | 55 · Aftercare only | $190.55 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $128.82 Typical High $177.83 | Professional | 56 · Pre-op care only | $125.89 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $912.01 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $870.96 | $912.01 | $1,230.27 |
Where Tennessee sits
The same service costs 16.4 times more in Maine 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
ME $34,058DE $2,083
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.