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 $2,511.89 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,511.89 | $2,630.27 | $3,548.13 |
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 $2,691.53 Median $3,801.89 Typical High $6,760.83 | Professional | None | $2,691.53 | $3,801.89 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $7,943.28 | Facility | None | $724.44 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,570.40 | $3,388.44 | $4,677.35 |
Lucent Health Setting Professional Modifier None Typical Low $20,417.38 Median $20,417.38 Typical High $21,877.62 | Professional | None | $20,417.38 | $20,417.38 | $21,877.62 |
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 $2,238.72 Median $2,884.03 Typical High $5,888.44 | Professional | None | $2,238.72 | $2,884.03 | $5,888.44 |
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 $1,230.27 Median $1,318.26 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,230.27 | $1,318.26 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $524.81 Typical High $707.95 | Professional | 53 · Discontinued | $501.19 | $524.81 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,949.84 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,862.09 | $1,949.84 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $389.05 Typical High $537.03 | Professional | 55 · Aftercare only | $371.54 | $389.05 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $263.03 Typical High $354.81 | Professional | 56 · Pre-op care only | $251.19 | $263.03 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,819.70 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,819.70 | $2,511.89 |
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· 22nd of 51
$3,715
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.