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 $1,380.38 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,380.38 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $436.52 | Professional | None | $251.19 | $309.03 | $436.52 |
BCBS Tennessee Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $2,754.23 | Facility | None | $575.44 | $1,148.15 | $2,754.23 |
BCBS Tennessee Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $741.31 | Professional | None | $316.23 | $457.09 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,691.53 | Facility | None | $602.56 | $1,096.48 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $537.03 | Professional | None | $263.03 | $354.81 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,754.23 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $616.60 | Professional | None | $251.19 | $338.84 | $616.60 |
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 $125.89 Median $141.25 Typical High $199.53 | Professional | 52 · Reduced service | $125.89 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $57.54 Typical High $81.28 | Professional | 53 · Discontinued | $50.12 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $213.80 Typical High $302.00 | Professional | 54 · Surgery only | $190.55 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $42.66 Typical High $60.26 | Professional | 55 · Aftercare only | $38.02 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.84 Typical High $39.81 | Professional | 56 · Pre-op care only | $25.12 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $199.53 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $177.83 | $199.53 | $281.84 |
Where Tennessee sits
The same service costs 6.8 times more in Alaska than in Utah. 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· 17th of 51
$447
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.