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 $2,630.27 Median $3,467.37 Typical High $7,585.78 | Facility | None | $2,630.27 | $3,467.37 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $5,248.07 | Professional | None | $3,467.37 | $3,630.78 | $5,248.07 |
BCBS Tennessee Setting Facility Modifier None Typical Low $2,398.83 Median $6,309.57 Typical High $12,022.64 | Facility | None | $2,398.83 | $6,309.57 | $12,022.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $9,332.54 | Professional | None | $4,073.80 | $5,754.40 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $14,791.08 Typical High $30,199.52 | Facility | None | $602.56 | $14,791.08 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $6,606.93 | Professional | None | $3,548.13 | $4,677.35 | $6,606.93 |
Lucent Health Setting Professional Modifier None Typical Low $31,622.78 Median $31,622.78 Typical High $31,622.78 | Professional | None | $31,622.78 | $31,622.78 | $31,622.78 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $10,000.00 Typical High $15,848.93 | Facility | None | $3,630.78 | $10,000.00 | $15,848.93 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $4,466.84 Typical High $8,317.64 | Professional | None | $3,311.31 | $4,466.84 | $8,317.64 |
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 $1,737.80 Median $1,862.09 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,737.80 | $1,862.09 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $741.31 Typical High $1,047.13 | Professional | 53 · Discontinued | $691.83 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $2,754.23 Typical High $3,890.45 | Professional | 54 · Surgery only | $2,570.40 | $2,754.23 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $549.54 Typical High $776.25 | Professional | 55 · Aftercare only | $512.86 | $549.54 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $371.54 Typical High $524.81 | Professional | 56 · Pre-op care only | $346.74 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,570.40 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,570.40 | $3,630.78 |
Where Tennessee sits
The same service costs 20.4 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· 21st of 51
$5,495
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.