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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,137.96 | $2,884.03 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,862.09 Median $3,981.07 Typical High $8,511.38 | Facility | None | $1,862.09 | $3,981.07 | $8,511.38 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $5,370.32 | Professional | None | $2,137.96 | $3,090.30 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,090.30 Typical High $6,606.93 | Facility | None | $588.84 | $3,090.30 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $3,715.35 | Professional | None | $2,041.74 | $2,691.53 | $3,715.35 |
Lucent Health Setting Professional Modifier None Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Professional | None | $25,703.96 | $25,703.96 | $25,703.96 |
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 $1,778.28 Median $2,290.87 Typical High $4,570.88 | Professional | None | $1,778.28 | $2,290.87 | $4,570.88 |
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 $1,000.00 Median $1,047.13 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,000.00 | $1,047.13 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $416.87 Typical High $575.44 | Professional | 53 · Discontinued | $398.11 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,548.82 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,479.11 | $1,548.82 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $309.03 Typical High $436.52 | Professional | 55 · Aftercare only | $302.00 | $309.03 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $208.93 Typical High $288.40 | Professional | 56 · Pre-op care only | $199.53 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,445.44 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,445.44 | $2,041.74 |
Where Tennessee sits
The same service costs 21.4 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· 24th of 51
$2,884
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.