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 $2,951.21 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,951.21 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,023.29 | Professional | None | $549.54 | $724.44 | $1,023.29 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,862.09 | Professional | None | $691.83 | $1,096.48 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,548.13 Typical High $6,606.93 | Facility | None | $831.76 | $3,548.13 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,318.26 | Professional | None | $562.34 | $794.33 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
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 $562.34 Median $794.33 Typical High $1,445.44 | Professional | None | $562.34 | $794.33 | $1,445.44 |
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 $269.15 Median $354.81 Typical High $512.86 | Professional | 52 · Reduced service | $269.15 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $141.25 Typical High $204.17 | Professional | 53 · Discontinued | $109.65 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $537.03 Typical High $758.58 | Professional | 54 · Surgery only | $407.38 | $537.03 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $107.15 Typical High $151.36 | Professional | 55 · Aftercare only | $81.28 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $70.79 Typical High $102.33 | Professional | 56 · Pre-op care only | $54.95 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $501.19 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $380.19 | $501.19 | $707.95 |
Where Tennessee sits
The same service costs 6.2 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
$1,023
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.