How much rates vary
Facilitymedian $1,820 · 10th to 90th $813 to $4,169Professionalmedian $479 · 10th to 90th $302 to $2,692
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 $1,071.52 Median $2,398.83 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,398.83 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $588.84 | Professional | None | $338.84 | $407.38 | $588.84 |
BCBS Tennessee Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,467.37 | Facility | None | $870.96 | $1,621.81 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $602.56 | Professional | None | $354.81 | $436.52 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,288.25 Typical High $2,344.23 | Facility | None | $524.81 | $1,288.25 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $537.03 | Professional | None | $269.15 | $338.84 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
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 $323.59 Median $398.11 Typical High $660.69 | Professional | None | $323.59 | $398.11 | $660.69 |
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 $169.82 Median $177.83 Typical High $257.04 | Professional | 52 · Reduced service | $169.82 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $102.33 | Professional | 53 · Discontinued | $67.61 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $263.03 Typical High $389.05 | Professional | 54 · Surgery only | $257.04 | $263.03 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $52.48 Typical High $77.62 | Professional | 55 · Aftercare only | $51.29 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $35.48 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.88 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $245.47 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $239.88 | $245.47 | $363.08 |
Where Tennessee sits
The same service costs 4.5 times more in Colorado 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
CO $4,914MT $1,099
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.