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 $1,096.48 Median $1,096.48 Typical High $1,380.38 | Facility | None | $1,096.48 | $1,096.48 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,380.38 | $1,995.26 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $5,248.07 | Facility | None | $1,202.26 | $2,290.87 | $5,248.07 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $3,715.35 | Professional | None | $1,513.56 | $2,290.87 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,000.00 Typical High $2,691.53 | Facility | None | $588.84 | $1,000.00 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,737.80 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $13,803.84 | Professional | None | $11,481.54 | $11,481.54 | $13,803.84 |
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 $1,148.15 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,698.24 | $3,090.30 |
5 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 $549.54 Median $691.83 Typical High $1,000.00 | Professional | 52 · Reduced service | $549.54 | $691.83 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $398.11 | Professional | 53 · Discontinued | $218.78 | $281.84 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $208.93 Typical High $295.12 | Professional | 55 · Aftercare only | $165.96 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $138.04 Typical High $199.53 | Professional | 56 · Pre-op care only | $109.65 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $977.24 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $776.25 | $977.24 | $1,380.38 |
Where Tennessee sits
The same service costs 5.1 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
$2,042
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.