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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,819.70 | $1,995.26 | $2,818.38 |
BCBS Tennessee Setting Facility Modifier None Typical Low $575.44 Median $1,513.56 Typical High $2,951.21 | Facility | None | $575.44 | $1,513.56 | $2,951.21 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $4,897.79 | Professional | None | $2,137.96 | $3,090.30 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,380.38 Typical High $2,691.53 | Facility | None | $602.56 | $1,380.38 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,862.09 | $2,454.71 | $3,630.78 |
Lucent Health Setting Professional Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $19,952.62 | Professional | None | $19,952.62 | $19,952.62 | $19,952.62 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $4,365.16 | Professional | None | $1,737.80 | $2,398.83 | $4,365.16 |
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 $891.25 Median $954.99 Typical High $1,348.96 | Professional | 52 · Reduced service | $891.25 | $954.99 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $389.05 Typical High $537.03 | Professional | 53 · Discontinued | $363.08 | $389.05 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,445.44 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,348.96 | $1,445.44 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $288.40 Typical High $407.38 | Professional | 55 · Aftercare only | $269.15 | $288.40 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $194.98 Typical High $269.15 | Professional | 56 · Pre-op care only | $181.97 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,348.96 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,348.96 | $1,905.46 |
Where Tennessee sits
The same service costs 19.5 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· 31st 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.