How much rates vary
Facilitymedian $2,570 · 10th to 90th $955 to $4,898Professionalmedian $851 · 10th to 90th $550 to $4,898
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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,023.29 | Professional | None | $616.60 | $758.58 | $1,023.29 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,071.52 | Professional | None | $645.65 | $776.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,570.40 Typical High $4,786.30 | Facility | None | $741.31 | $2,570.40 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $977.24 | Professional | None | $489.78 | $602.56 | $977.24 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,897.79 | Professional | None | $4,786.30 | $4,786.30 | $4,897.79 |
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 $575.44 Median $707.95 Typical High $1,174.90 | Professional | None | $575.44 | $707.95 | $1,174.90 |
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 $309.03 Median $323.59 Typical High $467.74 | Professional | 52 · Reduced service | $309.03 | $323.59 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $128.82 Typical High $186.21 | Professional | 53 · Discontinued | $125.89 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $478.63 Typical High $707.95 | Professional | 54 · Surgery only | $467.74 | $478.63 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $95.50 Typical High $141.25 | Professional | 55 · Aftercare only | $93.33 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $64.57 Typical High $93.33 | Professional | 56 · Pre-op care only | $61.66 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $446.68 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $436.52 | $446.68 | $660.69 |
Where Tennessee sits
The same service costs 4.1 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 $8,187MT $1,977
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.