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 $1,584.89 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,584.89 | $1,862.09 | $2,818.38 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,412.54 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $4,365.16 | Professional | None | $1,949.84 | $2,884.03 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,073.80 Typical High $8,317.64 | Facility | None | $602.56 | $4,073.80 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,187.76 | $3,235.94 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $19,054.61 | Professional | None | $19,054.61 | $19,054.61 | $19,054.61 |
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 $1,513.56 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,513.56 | $2,089.30 | $3,801.89 |
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 $794.33 Median $870.96 Typical High $1,148.15 | Professional | 52 · Reduced service | $794.33 | $870.96 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $346.74 Typical High $457.09 | Professional | 53 · Discontinued | $323.59 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,318.26 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,202.26 | $1,318.26 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $263.03 Typical High $346.74 | Professional | 55 · Aftercare only | $239.88 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $173.78 Typical High $229.09 | Professional | 56 · Pre-op care only | $158.49 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,230.27 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,230.27 | $1,621.81 |
Where Tennessee sits
The same service costs 20.0 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
$2,692
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.