How much rates vary
Facilitymedian $676 · 10th to 90th $115 to $15,849Professionalmedian $776 · 10th to 90th $372 to $12,023
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 $4,265.80 Typical High $30,199.52 | Facility | None | $2,630.27 | $4,265.80 | $30,199.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $977.24 | Professional | None (both parts) | $478.63 | $524.81 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $371.54 Typical High $478.63 | Professional | 26 · Professional part | $363.08 | $371.54 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $114.82 | $117.49 | $151.36 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $229.09 Median $741.31 Typical High $1,202.26 | Professional | None (both parts) | $229.09 | $741.31 | $1,202.26 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $562.34 Typical High $851.14 | Professional | 26 · Professional part | $436.52 | $562.34 | $851.14 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $354.81 Typical High $549.54 | Professional | TC · Technical part | $269.15 | $354.81 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $10,471.29 Typical High $15,848.93 | Facility | None | $10,232.93 | $10,471.29 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $1,096.48 | Professional | None (both parts) | $467.74 | $724.44 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $549.54 Typical High $812.83 | Professional | 26 · Professional part | $354.81 | $549.54 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $112.20 | $177.83 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None (both parts) | $12,022.64 | $12,022.64 | $12,022.64 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $3,235.94 Median $3,235.94 Typical High $3,467.37 | Professional | 26 · Professional part | $3,235.94 | $3,235.94 | $3,467.37 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | TC · Technical part | $11,481.54 | $11,481.54 | $11,481.54 |
United Setting Facility Modifier None Typical Low $107.15 Median $616.60 Typical High $15,135.61 | Facility | None | $107.15 | $616.60 | $15,135.61 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $851.14 Typical High $1,513.56 | Professional | None (both parts) | $616.60 | $851.14 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $549.54 Typical High $870.96 | Professional | 26 · Professional part | $371.54 | $549.54 | $870.96 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $234.42 | $323.59 | $602.56 |
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 $234.42 Median $245.47 Typical High $309.03 | Professional | 52 · Reduced service | $234.42 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $97.72 Typical High $125.89 | Professional | 53 · Discontinued | $95.50 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $363.08 Typical High $467.74 | Professional | 54 · Surgery only | $354.81 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $74.13 Typical High $93.33 | Professional | 55 · Aftercare only | $70.79 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $48.98 Typical High $63.10 | Professional | 56 · Pre-op care only | $47.86 | $48.98 | $63.10 |
Where Tennessee sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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.
Tennessee· 30th of 51
$759
NE $2,818MD $501
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.