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 $891.25 Median $977.24 Typical High $1,548.82 | Professional | None | $891.25 | $977.24 | $1,548.82 |
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 $1,023.29 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,513.56 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,235.94 Typical High $6,606.93 | Facility | None | $602.56 | $3,235.94 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,698.24 | Professional | None | $912.01 | $1,202.26 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
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 $831.76 Median $1,071.52 Typical High $2,089.30 | Professional | None | $831.76 | $1,071.52 | $2,089.30 |
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 $446.68 Median $467.74 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $467.74 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $186.21 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $186.21 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $707.95 Typical High $954.99 | Professional | 54 · Surgery only | $660.69 | $707.95 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $141.25 Typical High $190.55 | Professional | 55 · Aftercare only | $131.83 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $93.33 Typical High $128.82 | Professional | 56 · Pre-op care only | $89.13 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $660.69 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $616.60 | $660.69 | $891.25 |
Where Tennessee sits
The same service costs 18.2 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· 12th of 51
$1,660
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.