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 $707.95 Median $776.25 Typical High $2,089.30 | Professional | None | $707.95 | $776.25 | $2,089.30 |
BCBS Tennessee Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,548.13 | Facility | None | $870.96 | $1,621.81 | $3,548.13 |
BCBS Tennessee Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,479.11 | Professional | None | $812.83 | $1,000.00 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $2,691.53 | Facility | None | $602.56 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,445.44 | Professional | None | $758.58 | $851.14 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,244.36 | Professional | None | $6,606.93 | $6,606.93 | $7,244.36 |
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 $1,621.81 | Professional | None | $794.33 | $954.99 | $1,621.81 |
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 $354.81 Median $363.08 Typical High $501.19 | Professional | 52 · Reduced service | $354.81 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $199.53 | Professional | 53 · Discontinued | $141.25 | $147.91 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $549.54 Typical High $741.31 | Professional | 54 · Surgery only | $524.81 | $549.54 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $109.65 Typical High $147.91 | Professional | 55 · Aftercare only | $104.71 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $72.44 Typical High $100.00 | Professional | 56 · Pre-op care only | $70.79 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $512.86 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $489.78 | $512.86 | $691.83 |
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· 14th of 51
$1,413
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.