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 $1,174.90 Median $1,174.90 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,445.44 | $2,041.74 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,096.48 Median $3,019.95 Typical High $8,317.64 | Facility | None | $1,096.48 | $3,019.95 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $3,801.89 | Professional | None | $1,584.89 | $2,454.71 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $2,691.53 | Facility | None | $588.84 | $933.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,819.70 | $2,884.03 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $13,803.84 | Professional | None | $11,748.98 | $11,748.98 | $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 $1,230.27 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,819.70 | $3,235.94 |
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 $588.84 Median $724.44 Typical High $1,023.29 | Professional | 52 · Reduced service | $588.84 | $724.44 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $288.40 Typical High $407.38 | Professional | 53 · Discontinued | $234.42 | $288.40 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $213.80 Typical High $309.03 | Professional | 55 · Aftercare only | $177.83 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $144.54 Typical High $204.17 | Professional | 56 · Pre-op care only | $117.49 | $144.54 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,000.00 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $831.76 | $1,000.00 | $1,412.54 |
Where Tennessee sits
The same service costs 5.5 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· 17th of 51
$2,138
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.