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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $977.24 | Professional | None | $562.34 | $660.69 | $977.24 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $5,128.61 | Facility | None | $1,000.00 | $1,995.26 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,513.56 | Professional | None | $645.65 | $933.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,949.84 Typical High $3,548.13 | Facility | None | $524.81 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,071.52 | Professional | None | $588.84 | $741.31 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,248.07 | Professional | None | $4,677.35 | $4,677.35 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $1,318.26 | Professional | None | $524.81 | $676.08 | $1,318.26 |
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 $275.42 Median $295.12 Typical High $398.11 | Professional | 52 · Reduced service | $275.42 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $117.49 Typical High $158.49 | Professional | 53 · Discontinued | $112.20 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $446.68 Typical High $602.56 | Professional | 54 · Surgery only | $416.87 | $446.68 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $120.23 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $58.88 Typical High $79.43 | Professional | 56 · Pre-op care only | $56.23 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $416.87 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $389.05 | $416.87 | $562.34 |
Where Tennessee sits
The same service costs 18.6 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
$1,202
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.