How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,096 to $8,710Professionalmedian $1,445 · 10th to 90th $1,000 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 $1,000.00 Median $1,122.02 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,122.02 | $1,445.44 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,122.02 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,122.02 | $3,090.30 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,479.11 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $5,623.41 Typical High $12,022.64 | Facility | None | $524.81 | $5,623.41 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,819.70 | Professional | None | $977.24 | $1,288.25 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $8,511.38 | Professional | None | $7,762.47 | $7,762.47 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,548.82 | $4,570.88 | $8,912.51 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $2,187.76 | Professional | None | $870.96 | $1,174.90 | $2,187.76 |
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 $501.19 Median $512.86 Typical High $691.83 | Professional | 52 · Reduced service | $501.19 | $512.86 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $204.17 Typical High $281.84 | Professional | 53 · Discontinued | $199.53 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $1,047.13 | Professional | 54 · Surgery only | $741.31 | $758.58 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $208.93 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $102.33 Typical High $141.25 | Professional | 56 · Pre-op care only | $100.00 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $977.24 |
Where Tennessee sits
The same service costs 4.6 times more in Alaska 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
AK $11,951HI $2,608
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.