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 $3,388.44 Typical High $7,244.36 | Facility | None | $1,819.70 | $3,388.44 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,621.81 | Professional | None | $912.01 | $1,071.52 | $1,621.81 |
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 $1,071.52 Median $1,548.82 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,548.82 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,981.07 Typical High $7,943.28 | Facility | None | $588.84 | $3,981.07 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,819.70 | Professional | None | $954.99 | $1,258.93 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $8,511.38 | Professional | None | $7,762.47 | $7,762.47 | $8,511.38 |
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 $870.96 Median $1,148.15 Typical High $2,187.76 | Professional | None | $870.96 | $1,148.15 | $2,187.76 |
4 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 $691.83 Median $741.31 Typical High $1,000.00 | Professional | 54 · Surgery only | $691.83 | $741.31 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $147.91 Typical High $199.53 | Professional | 55 · Aftercare only | $138.04 | $147.91 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $97.72 Typical High $134.90 | Professional | 56 · Pre-op care only | $91.20 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $691.83 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $645.65 | $691.83 | $933.25 |
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
$1,950
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.