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 $602.56 Median $2,290.87 Typical High $7,585.78 | Facility | None | $602.56 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $489.78 | Professional | None | $245.47 | $346.74 | $489.78 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $912.01 | Professional | None | $331.13 | $512.86 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $2,691.53 | Facility | None | $302.00 | $588.84 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $616.60 | Professional | None | $251.19 | $371.54 | $616.60 |
Lucent Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,754.23 | $2,754.23 | $3,388.44 |
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 $257.04 Median $371.54 Typical High $691.83 | Professional | None | $257.04 | $371.54 | $691.83 |
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 $123.03 Median $173.78 Typical High $245.47 | Professional | 52 · Reduced service | $123.03 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $69.18 Typical High $97.72 | Professional | 53 · Discontinued | $48.98 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $263.03 Typical High $371.54 | Professional | 54 · Surgery only | $181.97 | $263.03 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $52.48 Typical High $74.13 | Professional | 55 · Aftercare only | $37.15 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $34.67 Typical High $48.98 | Professional | 56 · Pre-op care only | $24.55 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $245.47 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $169.82 | $245.47 | $346.74 |
Where Tennessee sits
The same service costs 4.8 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· 17th of 51
$490
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.