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 $2,454.71 Median $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,778.28 | $2,630.27 |
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 $1,778.28 Median $2,570.40 Typical High $4,073.80 | Professional | None | $1,778.28 | $2,570.40 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,897.79 Typical High $10,232.93 | Facility | None | $602.56 | $4,897.79 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,548.82 | $2,041.74 | $2,884.03 |
Lucent Health Setting Professional Modifier None Typical Low $13,182.57 Median $16,982.44 Typical High $16,982.44 | Professional | None | $13,182.57 | $16,982.44 | $16,982.44 |
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 $1,412.54 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,412.54 | $1,905.46 | $3,467.37 |
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 $741.31 Median $794.33 Typical High $1,071.52 | Professional | 52 · Reduced service | $741.31 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $316.23 Typical High $426.58 | Professional | 53 · Discontinued | $302.00 | $316.23 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,174.90 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,122.02 | $1,174.90 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $239.88 Typical High $323.59 | Professional | 55 · Aftercare only | $223.87 | $239.88 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $158.49 Typical High $213.80 | Professional | 56 · Pre-op care only | $147.91 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,096.48 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,096.48 | $1,513.56 |
Where Tennessee sits
The same service costs 9.3 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· 13th of 51
$2,754
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.