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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $645.65 | Professional | None | $371.54 | $426.58 | $645.65 |
BCBS Tennessee Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $5,128.61 | Facility | None | $912.01 | $1,905.46 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $1,000.00 | Professional | None | $426.58 | $630.96 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,698.24 Typical High $3,548.13 | Facility | None | $389.05 | $1,698.24 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $691.83 | Professional | None | $389.05 | $489.78 | $691.83 |
Lucent Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,548.13 | Professional | None | $3,162.28 | $3,162.28 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $870.96 | Professional | None | $338.84 | $457.09 | $870.96 |
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 $186.21 Median $194.98 Typical High $269.15 | Professional | 52 · Reduced service | $186.21 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $107.15 | Professional | 53 · Discontinued | $74.13 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $295.12 Typical High $398.11 | Professional | 54 · Surgery only | $275.42 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $58.88 Typical High $79.43 | Professional | 55 · Aftercare only | $54.95 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $39.81 Typical High $53.70 | Professional | 56 · Pre-op care only | $37.15 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $275.42 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $257.04 | $275.42 | $371.54 |
Where Tennessee sits
The same service costs 8.3 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· 9th of 51
$832
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.