How much rates vary
Facilitymedian $1,995 · 10th to 90th $871 to $4,365Professionalmedian $851 · 10th to 90th $589 to $5,129
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 $660.69 Median $794.33 Typical High $1,096.48 | Professional | None | $660.69 | $794.33 | $1,096.48 |
BCBS Tennessee Setting Facility Modifier None Typical Low $912.01 Median $1,621.81 Typical High $3,630.78 | Facility | None | $912.01 | $1,621.81 | $3,630.78 |
BCBS Tennessee Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,148.15 | Professional | None | $691.83 | $851.14 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $3,311.31 | Facility | None | $741.31 | $1,548.82 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,047.13 | Professional | None | $524.81 | $616.60 | $1,047.13 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
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 $616.60 Median $758.58 Typical High $1,258.93 | Professional | None | $616.60 | $758.58 | $1,258.93 |
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 $331.13 Median $338.84 Typical High $501.19 | Professional | 52 · Reduced service | $331.13 | $338.84 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $134.90 Typical High $199.53 | Professional | 53 · Discontinued | $131.83 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $741.31 | Professional | 54 · Surgery only | $501.19 | $501.19 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $102.33 Typical High $147.91 | Professional | 55 · Aftercare only | $100.00 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $67.61 Typical High $100.00 | Professional | 56 · Pre-op care only | $66.07 | $67.61 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $691.83 |
Where Tennessee sits
The same service costs 4.0 times more in Alaska than in Alabama. 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 $6,054AL $1,518
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.