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 $1,122.02 Median $1,258.93 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,258.93 | $1,949.84 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,348.96 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,348.96 | $4,897.79 | $10,471.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,905.46 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $10,232.93 Typical High $19,498.45 | Facility | None | $588.84 | $10,232.93 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,513.56 | $2,137.96 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $10,232.93 | Professional | None | $9,332.54 | $9,332.54 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,918.31 Typical High $10,964.78 | Facility | None | $1,778.28 | $6,918.31 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,412.54 | $2,630.27 |
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 $831.76 Median $891.25 Typical High $1,230.27 | Professional | 54 · Surgery only | $831.76 | $891.25 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $177.83 Typical High $245.47 | Professional | 55 · Aftercare only | $169.82 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $117.49 Typical High $162.18 | Professional | 56 · Pre-op care only | $112.20 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $831.76 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $776.25 | $831.76 | $1,148.15 |
Where Tennessee sits
The same service costs 8.1 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
$2,291
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.