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 $2,041.74 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,041.74 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,344.23 | $2,951.21 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,715.35 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,398.83 Median $3,467.37 Typical High $5,495.41 | Professional | None | $2,398.83 | $3,467.37 | $5,495.41 |
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 $2,089.30 Median $2,754.23 Typical High $3,981.07 | Professional | None | $2,089.30 | $2,754.23 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $22,387.21 | Professional | None | $22,387.21 | $22,387.21 | $22,387.21 |
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 $1,905.46 Median $2,570.40 Typical High $4,786.30 | Professional | None | $1,905.46 | $2,570.40 | $4,786.30 |
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 $1,023.29 Median $1,071.52 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $426.58 Typical High $588.84 | Professional | 53 · Discontinued | $407.38 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,621.81 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,513.56 | $1,621.81 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $323.59 Typical High $436.52 | Professional | 55 · Aftercare only | $302.00 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $213.80 Typical High $295.12 | Professional | 56 · Pre-op care only | $204.17 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,513.56 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,513.56 | $2,041.74 |
Where Tennessee sits
The same service costs 21.9 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· 22nd of 51
$3,020
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.