How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,413 to $8,318Professionalmedian $1,950 · 10th to 90th $1,259 to $10,965
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 $2,454.71 Median $4,570.88 Typical High $10,715.19 | Facility | None | $2,454.71 | $4,570.88 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,174.90 | $1,380.38 | $2,089.30 |
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 $10,471.29 Median $10,471.29 Typical High $10,964.78 | Professional | None | $10,471.29 | $10,471.29 | $10,964.78 |
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 $912.01 | Professional | 52 · Reduced service | $575.44 | $630.96 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $363.08 | Professional | 53 · Discontinued | $234.42 | $257.04 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $954.99 Typical High $1,348.96 | Professional | 54 · Surgery only | $870.96 | $954.99 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $190.55 Typical High $269.15 | Professional | 55 · Aftercare only | $173.78 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $125.89 Typical High $181.97 | Professional | 56 · Pre-op care only | $117.49 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $891.25 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $812.83 | $891.25 | $1,258.93 |
Where Tennessee sits
The same service costs 3.0 times more in Alaska than in Vermont. 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 $12,999VT $4,294
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.