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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,202.26 | $1,778.28 |
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 $1,230.27 Median $1,737.80 Typical High $2,754.23 | Professional | None | $1,230.27 | $1,737.80 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,248.07 Typical High $11,220.18 | Facility | None | $741.31 | $5,248.07 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,380.38 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,332.54 | Professional | None | $9,120.11 | $9,120.11 | $9,332.54 |
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 $977.24 Median $1,348.96 Typical High $2,454.71 | Professional | None | $977.24 | $1,348.96 | $2,454.71 |
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 $512.86 Median $549.54 Typical High $758.58 | Professional | 52 · Reduced service | $512.86 | $549.54 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $218.78 Typical High $302.00 | Professional | 53 · Discontinued | $204.17 | $218.78 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $812.83 Typical High $1,148.15 | Professional | 54 · Surgery only | $776.25 | $812.83 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $162.18 Typical High $229.09 | Professional | 55 · Aftercare only | $154.88 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $151.36 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $758.58 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $724.44 | $758.58 | $1,071.52 |
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· 12th of 51
$2,089
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.