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 $1,905.46 Median $4,570.88 Typical High $10,715.19 | Facility | None | $1,905.46 | $4,570.88 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,000.00 | Professional | None | $562.34 | $707.95 | $1,000.00 |
BCBS Tennessee Setting Facility Modifier None Typical Low $575.44 Median $1,348.96 Typical High $2,884.03 | Facility | None | $575.44 | $1,348.96 | $2,884.03 |
BCBS Tennessee Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,819.70 | Professional | None | $724.44 | $1,096.48 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $5,248.07 | Facility | None | $741.31 | $1,174.90 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,288.25 | Professional | None | $588.84 | $831.76 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,445.44 | Professional | None | $562.34 | $776.25 | $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 $281.84 Median $354.81 Typical High $501.19 | Professional | 52 · Reduced service | $281.84 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $141.25 Typical High $199.53 | Professional | 53 · Discontinued | $112.20 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $524.81 Typical High $758.58 | Professional | 54 · Surgery only | $416.87 | $524.81 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $104.71 Typical High $151.36 | Professional | 55 · Aftercare only | $83.18 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | 56 · Pre-op care only | $56.23 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $489.78 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $389.05 | $489.78 | $707.95 |
Where Tennessee sits
The same service costs 5.6 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· 25th of 51
$933
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.