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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $870.96 | Professional | None | $446.68 | $602.56 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,949.84 | Facility | None | $407.38 | $812.83 | $1,949.84 |
BCBS Tennessee Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,584.89 | Professional | None | $616.60 | $954.99 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $288.40 Typical High $2,691.53 | Facility | None | $147.91 | $288.40 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,122.02 | Professional | None | $457.09 | $691.83 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,025.60 | Professional | None | $5,011.87 | $5,011.87 | $6,025.60 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,288.25 | Professional | None | $467.74 | $724.44 | $1,288.25 |
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 $223.87 Median $302.00 Typical High $436.52 | Professional | 52 · Reduced service | $223.87 | $302.00 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $123.03 Typical High $173.78 | Professional | 53 · Discontinued | $89.13 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $457.09 Typical High $645.65 | Professional | 54 · Surgery only | $331.13 | $457.09 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $91.20 Typical High $128.82 | Professional | 55 · Aftercare only | $66.07 | $91.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $60.26 Typical High $87.10 | Professional | 56 · Pre-op care only | $44.67 | $60.26 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $426.58 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $309.03 | $426.58 | $602.56 |
Where Tennessee sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$813
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.