How much rates vary
Facilitymedian $1,862 · 10th to 90th $871 to $4,169Professionalmedian $676 · 10th to 90th $148 to $5,754
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 $147.91 Median $794.33 Typical High $1,202.26 | Professional | None | $147.91 | $794.33 | $1,202.26 |
BCBS Tennessee Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $3,467.37 | Facility | None | $831.76 | $1,584.89 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $169.82 Median $537.03 Typical High $1,047.13 | Professional | None | $169.82 | $537.03 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,380.38 Typical High $3,801.89 | Facility | None | $724.44 | $1,380.38 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $457.09 Typical High $912.01 | Professional | None | $128.82 | $457.09 | $912.01 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $7,244.36 | Professional | None | $5,754.40 | $5,754.40 | $7,244.36 |
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 $151.36 Median $575.44 Typical High $1,096.48 | Professional | None | $151.36 | $575.44 | $1,096.48 |
2 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 54 · Surgery only Typical Low $109.65 Median $229.09 Typical High $891.25 | Professional | 54 · Surgery only | $109.65 | $229.09 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $213.80 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $102.33 | $213.80 | $831.76 |
Where Tennessee sits
The same service costs 3.5 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 $4,667MT $1,347
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.