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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $2,089.30 | Professional | None | $691.83 | $851.14 | $2,089.30 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,137.96 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,445.44 | Professional | None | $794.33 | $1,000.00 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,548.82 Typical High $2,691.53 | Facility | None | $602.56 | $1,548.82 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,412.54 | Professional | None | $741.31 | $794.33 | $1,412.54 |
Lucent Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,079.46 | Professional | None | $6,456.54 | $6,456.54 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,584.89 | Professional | None | $794.33 | $954.99 | $1,584.89 |
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 $346.74 Median $354.81 Typical High $489.78 | Professional | 52 · Reduced service | $346.74 | $354.81 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $141.25 Typical High $194.98 | Professional | 53 · Discontinued | $138.04 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $537.03 Typical High $724.44 | Professional | 54 · Surgery only | $512.86 | $537.03 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $107.15 Typical High $144.54 | Professional | 55 · Aftercare only | $102.33 | $107.15 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $70.79 Typical High $97.72 | Professional | 56 · Pre-op care only | $69.18 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $501.19 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $478.63 | $501.19 | $676.08 |
Where Tennessee sits
The same service costs 7.6 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· 12th of 51
$1,549
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.