How much rates vary
Facilitymedian $2,089 · 10th to 90th $955 to $4,571Professionalmedian $832 · 10th to 90th $537 to $4,677
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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $933.25 | Professional | None | $602.56 | $707.95 | $933.25 |
BCBS Tennessee Setting Facility Modifier None Typical Low $954.99 Median $1,698.24 Typical High $3,715.35 | Facility | None | $954.99 | $1,698.24 | $3,715.35 |
BCBS Tennessee Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $1,047.13 | Professional | None | $630.96 | $758.58 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $3,801.89 | Facility | None | $831.76 | $1,584.89 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $954.99 | Professional | None | $467.74 | $588.84 | $954.99 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
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 $562.34 Median $691.83 Typical High $1,148.15 | Professional | None | $562.34 | $691.83 | $1,148.15 |
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 $302.00 Median $309.03 Typical High $446.68 | Professional | 52 · Reduced service | $302.00 | $309.03 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $123.03 Typical High $181.97 | Professional | 53 · Discontinued | $120.23 | $123.03 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $467.74 Typical High $676.08 | Professional | 54 · Surgery only | $446.68 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $93.33 Typical High $134.90 | Professional | 55 · Aftercare only | $89.13 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $61.66 Typical High $89.13 | Professional | 56 · Pre-op care only | $60.26 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $436.52 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $416.87 | $436.52 | $630.96 |
Where Tennessee sits
The same service costs 3.2 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 $5,959MT $1,888
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.