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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,445.44 | Professional | None | $831.76 | $977.24 | $1,445.44 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,412.54 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $2,238.72 | Professional | None | $977.24 | $1,412.54 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,897.79 Typical High $10,232.93 | Facility | None | $831.76 | $4,897.79 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,584.89 | Professional | None | $870.96 | $1,122.02 | $1,584.89 |
Lucent Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,585.78 | Professional | None | $7,079.46 | $7,079.46 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,949.84 | Professional | None | $794.33 | $1,047.13 | $1,949.84 |
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 $416.87 Median $436.52 Typical High $602.56 | Professional | 52 · Reduced service | $416.87 | $436.52 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $177.83 Typical High $245.47 | Professional | 53 · Discontinued | $165.96 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $660.69 Typical High $912.01 | Professional | 54 · Surgery only | $616.60 | $660.69 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $131.83 Typical High $181.97 | Professional | 55 · Aftercare only | $125.89 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $89.13 Typical High $123.03 | Professional | 56 · Pre-op care only | $83.18 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $616.60 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $575.44 | $616.60 | $851.14 |
Where Tennessee sits
The same service costs 7.9 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· 8th of 51
$1,905
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.