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 $2,089.30 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,089.30 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,290.87 | $2,951.21 |
BCBS Tennessee Setting Facility Modifier None Typical Low $912.01 Median $1,621.81 Typical High $3,630.78 | Facility | None | $912.01 | $1,621.81 | $3,630.78 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $4,365.16 | Professional | None | $2,398.83 | $2,951.21 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $3,311.31 | Facility | None | $741.31 | $1,412.54 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $4,265.80 | Professional | None | $2,187.76 | $2,511.89 | $4,265.80 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $20,417.38 | Professional | None | $19,498.45 | $19,498.45 | $20,417.38 |
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 $2,398.83 Median $2,884.03 Typical High $5,011.87 | Professional | None | $2,398.83 | $2,884.03 | $5,011.87 |
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 $1,047.13 Median $1,071.52 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,047.13 | $1,071.52 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $436.52 Typical High $588.84 | Professional | 53 · Discontinued | $416.87 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,621.81 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,584.89 | $1,621.81 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $323.59 Typical High $446.68 | Professional | 55 · Aftercare only | $316.23 | $323.59 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $218.78 Typical High $295.12 | Professional | 56 · Pre-op care only | $208.93 | $218.78 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,513.56 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,513.56 | $2,041.74 |
Where Tennessee sits
The same service costs 15.8 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· 36th of 51
$2,570
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.