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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,318.26 | Professional | None | $758.58 | $891.25 | $1,318.26 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $2,041.74 | Professional | None | $870.96 | $1,288.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,801.89 Typical High $7,943.28 | Facility | None | $602.56 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,445.44 | Professional | None | $794.33 | $1,023.29 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,918.31 | Professional | None | $6,309.57 | $6,309.57 | $6,918.31 |
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 $724.44 Median $933.25 Typical High $1,778.28 | Professional | None | $724.44 | $933.25 | $1,778.28 |
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 $380.19 Median $398.11 Typical High $562.34 | Professional | 52 · Reduced service | $380.19 | $398.11 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $162.18 Typical High $223.87 | Professional | 53 · Discontinued | $151.36 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $602.56 Typical High $831.76 | Professional | 54 · Surgery only | $562.34 | $602.56 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $120.23 Typical High $169.82 | Professional | 55 · Aftercare only | $112.20 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $79.43 Typical High $112.20 | Professional | 56 · Pre-op care only | $75.86 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $562.34 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $524.81 | $562.34 | $776.25 |
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· 8th of 51
$1,698
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.