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 $4,168.69 Typical High $7,585.78 | Facility | None | $2,454.71 | $4,168.69 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,949.84 | $2,238.72 | $3,467.37 |
BCBS Tennessee Setting Facility Modifier None Typical Low $2,238.72 Median $6,309.57 Typical High $12,882.50 | Facility | None | $2,238.72 | $6,309.57 | $12,882.50 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $5,248.07 | Professional | None | $2,089.30 | $3,090.30 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $12,022.64 Typical High $25,118.86 | Facility | None | $588.84 | $12,022.64 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,630.27 | $3,801.89 |
Lucent Health Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $20,417.38 | Professional | None | $15,848.93 | $15,848.93 | $20,417.38 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $10,000.00 Typical High $15,848.93 | Facility | None | $3,630.78 | $10,000.00 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $4,677.35 | Professional | None | $1,819.70 | $2,344.23 | $4,677.35 |
2 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 54 · Surgery only Typical Low $1,479.11 Median $1,584.89 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,479.11 | $1,584.89 | $2,137.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,479.11 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,479.11 | $1,995.26 |
Where Tennessee sits
The same service costs 8.1 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· 15th of 51
$3,631
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.