How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,230 to $7,586Professionalmedian $832 · 10th to 90th $562 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 $1,318.26 Median $4,168.69 Typical High $7,585.78 | Facility | None | $1,318.26 | $4,168.69 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,023.29 | Professional | None | $630.96 | $691.83 | $1,023.29 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,884.03 | $6,309.57 |
BCBS Tennessee 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 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,677.35 Typical High $8,709.64 | Facility | None | $588.84 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,071.52 | Professional | None | $501.19 | $630.96 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
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 $630.96 Median $812.83 Typical High $1,318.26 | Professional | None | $630.96 | $812.83 | $1,318.26 |
5 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 $316.23 Median $331.13 Typical High $478.63 | Professional | 52 · Reduced service | $316.23 | $331.13 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $190.55 | Professional | 53 · Discontinued | $125.89 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $489.78 Typical High $707.95 | Professional | 54 · Surgery only | $478.63 | $489.78 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $97.72 Typical High $141.25 | Professional | 55 · Aftercare only | $95.50 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $95.50 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $95.50 |
Where Tennessee sits
The same service costs 5.9 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 $12,304MT $2,095
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.