How much rates vary
Facilitymedian $9,772 · 10th to 90th $2,399 to $23,442Professionalmedian $1,549 · 10th to 90th $1,023 to $6,607
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 $2,630.27 Median $5,370.32 Typical High $14,454.40 | Facility | None | $2,630.27 | $5,370.32 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $5,370.32 | Professional | None | $1,023.29 | $1,122.02 | $5,370.32 |
BCBS Tennessee Setting Facility Modifier None Typical Low $3,801.89 Median $8,317.64 Typical High $14,125.38 | Facility | None | $3,801.89 | $8,317.64 | $14,125.38 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,122.02 | $1,348.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $8,709.64 Typical High $19,952.62 | Facility | None | $512.86 | $8,709.64 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,290.87 | Professional | None | $977.24 | $1,584.89 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $7,585.78 Typical High $7,585.78 | Professional | None | $6,606.93 | $7,585.78 | $7,585.78 |
United Setting Facility Modifier None Typical Low $5,888.44 Median $14,454.40 Typical High $26,915.35 | Facility | None | $5,888.44 | $14,454.40 | $26,915.35 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,621.81 | $2,454.71 |
5 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 $501.19 Median $524.81 Typical High $660.69 | Professional | 52 · Reduced service | $501.19 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $208.93 Typical High $269.15 | Professional | 53 · Discontinued | $204.17 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $776.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $758.58 | $776.25 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $154.88 Typical High $199.53 | Professional | 55 · Aftercare only | $151.36 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $104.71 Typical High $131.83 | Professional | 56 · Pre-op care only | $102.33 | $104.71 | $131.83 |
Where Tennessee sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.