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 $2,290.87 Median $2,570.40 Typical High $3,467.37 | Professional | None | $2,290.87 | $2,570.40 | $3,467.37 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,412.54 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,754.23 Median $3,981.07 Typical High $6,309.57 | Professional | None | $2,754.23 | $3,981.07 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,623.41 Typical High $10,232.93 | Facility | None | $602.56 | $5,623.41 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $4,466.84 | Professional | None | $2,398.83 | $3,162.28 | $4,466.84 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $20,417.38 | Professional | None | $19,054.61 | $19,054.61 | $20,417.38 |
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 $2,137.96 Median $2,951.21 Typical High $5,370.32 | Professional | None | $2,137.96 | $2,951.21 | $5,370.32 |
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 $1,148.15 Median $1,230.27 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,148.15 | $1,230.27 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $489.78 Typical High $660.69 | Professional | 53 · Discontinued | $467.74 | $489.78 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,819.70 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,737.80 | $1,819.70 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $371.54 Typical High $501.19 | Professional | 55 · Aftercare only | $346.74 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $245.47 Typical High $331.13 | Professional | 56 · Pre-op care only | $229.09 | $245.47 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,698.24 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,698.24 | $2,344.23 |
Where Tennessee sits
The same service costs 8.7 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· 18th of 51
$3,890
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.