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 $812.83 Median $954.99 Typical High $1,412.54 | Professional | None | $812.83 | $954.99 | $1,412.54 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,348.96 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,348.96 | $4,897.79 | $10,471.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $2,187.76 | Professional | None | $954.99 | $1,380.38 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $6,918.31 Typical High $14,791.08 | Facility | None | $602.56 | $6,918.31 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,621.81 | Professional | None | $851.14 | $1,071.52 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,548.82 | $4,570.88 | $8,912.51 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,905.46 | Professional | None | $758.58 | $1,047.13 | $1,905.46 |
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 $398.11 Median $426.58 Typical High $588.84 | Professional | 52 · Reduced service | $398.11 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $239.88 | Professional | 53 · Discontinued | $162.18 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $645.65 Typical High $891.25 | Professional | 54 · Surgery only | $602.56 | $645.65 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $128.82 Typical High $177.83 | Professional | 55 · Aftercare only | $120.23 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $85.11 Typical High $120.23 | Professional | 56 · Pre-op care only | $81.28 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $602.56 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $562.34 | $602.56 | $831.76 |
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· 10th of 51
$1,778
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.