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 $1,071.52 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $954.99 | Professional | None | $549.54 | $691.83 | $954.99 |
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 $691.83 Median $912.01 Typical High $1,288.25 | Professional | None | $691.83 | $912.01 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $2,754.23 | Facility | None | $588.84 | $1,548.82 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,258.93 | Professional | None | $588.84 | $741.31 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $8,128.31 | Professional | None | $6,309.57 | $6,309.57 | $8,128.31 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,445.44 | Professional | None | $676.08 | $851.14 | $1,445.44 |
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 $275.42 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $275.42 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $138.04 Typical High $181.97 | Professional | 53 · Discontinued | $109.65 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $524.81 Typical High $691.83 | Professional | 54 · Surgery only | $416.87 | $524.81 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $104.71 Typical High $138.04 | Professional | 55 · Aftercare only | $83.18 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $69.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $54.95 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $489.78 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $389.05 | $489.78 | $645.65 |
Where Tennessee sits
The same service costs 4.9 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· 16th of 51
$1,047
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.