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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,202.26 | $1,862.09 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,884.03 | Professional | None | $1,258.93 | $1,819.70 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $6,606.93 | Facility | None | $602.56 | $3,090.30 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,445.44 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,548.82 | $4,570.88 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,348.96 | $2,511.89 |
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 $537.03 Median $562.34 Typical High $758.58 | Professional | 52 · Reduced service | $537.03 | $562.34 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $223.87 Typical High $309.03 | Professional | 53 · Discontinued | $213.80 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $831.76 Typical High $1,148.15 | Professional | 54 · Surgery only | $794.33 | $831.76 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $229.09 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $112.20 Typical High $154.88 | Professional | 56 · Pre-op care only | $107.15 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $776.25 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $741.31 | $776.25 | $1,071.52 |
Where Tennessee sits
The same service costs 16.6 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
$1,862
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.