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 $851.14 Median $954.99 Typical High $1,513.56 | Professional | None | $851.14 | $954.99 | $1,513.56 |
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 $1,000.00 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,000.00 | $1,445.44 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $4,365.16 Typical High $7,943.28 | Facility | None | $1,122.02 | $4,365.16 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,659.59 | Professional | None | $891.25 | $1,148.15 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,762.47 | Professional | None | $7,413.10 | $7,413.10 | $7,762.47 |
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 $794.33 Median $1,047.13 Typical High $2,041.74 | Professional | None | $794.33 | $1,047.13 | $2,041.74 |
2 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 54 · Surgery only Typical Low $645.65 Median $691.83 Typical High $933.25 | Professional | 54 · Surgery only | $645.65 | $691.83 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $645.65 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $602.56 | $645.65 | $870.96 |
Where Tennessee sits
The same service costs 7.6 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
$1,778
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.