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 $616.60 Median $724.44 Typical High $1,071.52 | Professional | None | $616.60 | $724.44 | $1,071.52 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,659.59 | Professional | None | $707.95 | $1,047.13 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,801.89 Typical High $7,943.28 | Facility | None | $602.56 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,174.90 | Professional | None | $645.65 | $831.76 | $1,174.90 |
Lucent Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,754.40 | Professional | None | $5,128.61 | $5,128.61 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,445.44 | Professional | None | $562.34 | $758.58 | $1,445.44 |
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 $309.03 Median $331.13 Typical High $446.68 | Professional | 52 · Reduced service | $309.03 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $131.83 Typical High $177.83 | Professional | 53 · Discontinued | $123.03 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $489.78 Typical High $660.69 | Professional | 54 · Surgery only | $457.09 | $489.78 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $97.72 Typical High $131.83 | Professional | 55 · Aftercare only | $93.33 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $66.07 Typical High $89.13 | Professional | 56 · Pre-op care only | $61.66 | $66.07 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $457.09 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $426.58 | $457.09 | $616.60 |
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· 8th of 51
$1,413
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.