How much rates vary
Facilitymedian $5,129 · 10th to 90th $955 to $14,454Professionalmedian $562 · 10th to 90th $209 to $26,303
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 $338.84 Median $1,318.26 Typical High $3,090.30 | Professional | None | $338.84 | $1,318.26 | $3,090.30 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,122.02 | $4,897.79 | $10,471.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $190.55 Median $371.54 Typical High $3,715.35 | Professional | None | $190.55 | $371.54 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $10,232.93 Typical High $19,498.45 | Facility | None | $389.05 | $10,232.93 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $549.54 Typical High $3,548.13 | Professional | None | $263.03 | $549.54 | $3,548.13 |
Lucent Health Setting Professional Modifier None Typical Low $26,302.68 Median $26,302.68 Typical High $42,657.95 | Professional | None | $26,302.68 | $26,302.68 | $42,657.95 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $7,079.46 Typical High $15,135.61 | Facility | None | $1,778.28 | $7,079.46 | $15,135.61 |
United Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $3,090.30 | Professional | None | $194.98 | $380.19 | $3,090.30 |
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 $169.82 Median $316.23 Typical High $1,548.82 | Professional | 52 · Reduced service | $169.82 | $316.23 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $128.82 Typical High $616.60 | Professional | 53 · Discontinued | $67.61 | $128.82 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $478.63 Typical High $2,344.23 | Professional | 54 · Surgery only | $257.04 | $478.63 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $95.50 Typical High $467.74 | Professional | 55 · Aftercare only | $51.29 | $95.50 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $64.57 Typical High $309.03 | Professional | 56 · Pre-op care only | $33.88 | $64.57 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $446.68 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $239.88 | $446.68 | $2,187.76 |
Where Tennessee sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.