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 $1,047.13 Median $1,174.90 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,174.90 | $1,819.70 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,621.81 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,949.84 Typical High $3,548.13 | Facility | None | $741.31 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,380.38 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,230.27 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,398.83 | Professional | None | $954.99 | $1,258.93 | $2,398.83 |
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 $537.03 Typical High $741.31 | Professional | 52 · Reduced service | $512.86 | $537.03 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $295.12 | Professional | 53 · Discontinued | $208.93 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $812.83 Typical High $1,122.02 | Professional | 54 · Surgery only | $776.25 | $812.83 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $162.18 Typical High $223.87 | Professional | 55 · Aftercare only | $154.88 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $147.91 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $758.58 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $724.44 | $758.58 | $1,047.13 |
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· 14th of 51
$1,820
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.