How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,380 to $8,318Professionalmedian $1,905 · 10th to 90th $1,259 to $11,220
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 $1,513.56 Median $4,570.88 Typical High $10,715.19 | Facility | None | $1,513.56 | $4,570.88 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,348.96 | $2,137.96 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,715.35 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,905.46 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $3,630.78 Typical High $6,606.93 | Facility | None | $1,174.90 | $3,630.78 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,479.11 | $2,630.27 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $11,220.18 | Professional | None | $10,232.93 | $10,232.93 | $11,220.18 |
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 $1,288.25 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,819.70 | $2,951.21 |
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 $575.44 Median $630.96 Typical High $891.25 | Professional | 52 · Reduced service | $575.44 | $630.96 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $251.19 Typical High $354.81 | Professional | 53 · Discontinued | $229.09 | $251.19 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $1,348.96 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $269.15 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $125.89 Typical High $177.83 | Professional | 56 · Pre-op care only | $114.82 | $125.89 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $870.96 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $794.33 | $870.96 | $1,258.93 |
Where Tennessee sits
The same service costs 3.1 times more in Alaska than in Delaware. 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 $12,999DE $4,240
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.