How much rates vary
Facilitymedian $1,950 · 10th to 90th $851 to $4,266Professionalmedian $724 · 10th to 90th $479 to $4,169
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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $870.96 | Professional | None | $537.03 | $645.65 | $870.96 |
BCBS Tennessee Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,548.13 | Facility | None | $870.96 | $1,621.81 | $3,548.13 |
BCBS Tennessee Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $933.25 | Professional | None | $549.54 | $676.08 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,548.82 Typical High $2,691.53 | Facility | None | $602.56 | $1,548.82 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $851.14 | Professional | None | $416.87 | $524.81 | $851.14 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
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 $501.19 Median $616.60 Typical High $1,023.29 | Professional | None | $501.19 | $616.60 | $1,023.29 |
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 $269.15 Median $275.42 Typical High $398.11 | Professional | 52 · Reduced service | $269.15 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $158.49 | Professional | 53 · Discontinued | $107.15 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $602.56 | Professional | 54 · Surgery only | $398.11 | $407.38 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $120.23 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $54.95 Typical High $79.43 | Professional | 56 · Pre-op care only | $53.70 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $562.34 |
Where Tennessee sits
The same service costs 3.3 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 $5,527MT $1,683
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.