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 $2,344.23 Median $4,570.88 Typical High $10,715.19 | Facility | None | $2,344.23 | $4,570.88 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,348.96 | Professional | None | $758.58 | $831.76 | $1,348.96 |
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 $870.96 Median $1,288.25 Typical High $2,041.74 | Professional | None | $870.96 | $1,288.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,174.90 | $5,248.07 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,445.44 | Professional | None | $794.33 | $1,047.13 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $13,803.84 Median $13,803.84 Typical High $13,803.84 | Professional | None | $13,803.84 | $13,803.84 | $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 $707.95 Median $954.99 Typical High $1,778.28 | Professional | None | $707.95 | $954.99 | $1,778.28 |
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 $380.19 Median $398.11 Typical High $549.54 | Professional | 52 · Reduced service | $380.19 | $398.11 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $162.18 Typical High $218.78 | Professional | 53 · Discontinued | $151.36 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $602.56 Typical High $812.83 | Professional | 54 · Surgery only | $575.44 | $602.56 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $120.23 Typical High $165.96 | Professional | 55 · Aftercare only | $114.82 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $79.43 Typical High $109.65 | Professional | 56 · Pre-op care only | $75.86 | $79.43 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $562.34 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $537.03 | $562.34 | $758.58 |
Where Tennessee sits
The same service costs 17.8 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· 11th of 51
$1,445
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.