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 $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,122.02 | Professional | None | $630.96 | $707.95 | $1,122.02 |
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 $724.44 Median $1,071.52 Typical High $1,698.24 | Professional | None | $724.44 | $1,071.52 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,073.80 Typical High $8,317.64 | Facility | None | $602.56 | $4,073.80 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,202.26 | Professional | None | $645.65 | $851.14 | $1,202.26 |
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 $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 $575.44 Median $758.58 Typical High $1,479.11 | Professional | None | $575.44 | $758.58 | $1,479.11 |
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 $316.23 Median $331.13 Typical High $457.09 | Professional | 52 · Reduced service | $316.23 | $331.13 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $181.97 | Professional | 53 · Discontinued | $125.89 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $501.19 Typical High $691.83 | Professional | 54 · Surgery only | $478.63 | $501.19 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $138.04 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $91.20 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $467.74 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $446.68 | $467.74 | $645.65 |
Where Tennessee sits
The same service costs 19.1 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
$1,230
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.