How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,148 to $6,607Professionalmedian $1,349 · 10th to 90th $933 to $8,128
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 $1,148.15 Median $2,951.21 Typical High $7,585.78 | Facility | None | $1,148.15 | $2,951.21 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,258.93 | $1,737.80 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $5,128.61 | Facility | None | $1,122.02 | $2,137.96 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,348.96 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,630.27 Typical High $4,786.30 | Facility | None | $831.76 | $2,630.27 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,698.24 | Professional | None | $831.76 | $977.24 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,709.64 | Facility | None | $1,548.82 | $4,570.88 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,258.93 | $2,137.96 |
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 $524.81 Median $537.03 Typical High $794.33 | Professional | 52 · Reduced service | $524.81 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $316.23 | Professional | 53 · Discontinued | $208.93 | $213.80 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $812.83 Typical High $1,174.90 | Professional | 54 · Surgery only | $794.33 | $812.83 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $162.18 Typical High $234.42 | Professional | 55 · Aftercare only | $158.49 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $158.49 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $758.58 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $741.31 | $758.58 | $1,096.48 |
Where Tennessee sits
The same service costs 3.1 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 $10,355MT $3,360
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.