How much rates vary
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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $524.81 | Professional | None | $269.15 | $371.54 | $524.81 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $831.76 Typical High $1,995.26 | Facility | None | $407.38 | $831.76 | $1,995.26 |
BCBS Tennessee Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $741.31 | Professional | None | $346.74 | $501.19 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $1,659.59 | Facility | None | $50.12 | $66.07 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $691.83 | Professional | None | $295.12 | $389.05 | $691.83 |
Lucent Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $776.25 | Professional | None | $331.13 | $457.09 | $776.25 |
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 $134.90 Median $186.21 Typical High $251.19 | Professional | 52 · Reduced service | $134.90 | $186.21 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $74.13 Typical High $100.00 | Professional | 53 · Discontinued | $53.70 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $275.42 Typical High $380.19 | Professional | 54 · Surgery only | $204.17 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $54.95 Typical High $75.86 | Professional | 55 · Aftercare only | $40.74 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $37.15 Typical High $50.12 | Professional | 56 · Pre-op care only | $26.92 | $37.15 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $257.04 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $190.55 | $257.04 | $354.81 |
Where Tennessee sits
The same service costs 4.7 times more in Alaska than in Texas. 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· 22nd of 51
$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.