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 $1,548.82 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,548.82 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,548.82 | $1,621.81 | $2,454.71 |
BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,122.02 | $3,090.30 | $8,317.64 |
BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $4,168.69 | Professional | None | $1,778.28 | $2,398.83 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,090.30 Typical High $6,606.93 | Facility | None | $524.81 | $3,090.30 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,819.70 | $3,311.31 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $13,803.84 | Professional | None | $12,302.69 | $12,302.69 | $13,803.84 |
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 $1,621.81 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,621.81 | $2,290.87 | $3,801.89 |
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 $776.25 Median $812.83 Typical High $1,202.26 | Professional | 52 · Reduced service | $776.25 | $812.83 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $323.59 Typical High $489.78 | Professional | 53 · Discontinued | $309.03 | $323.59 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,202.26 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,148.15 | $1,202.26 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $239.88 Typical High $363.08 | Professional | 55 · Aftercare only | $229.09 | $239.88 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $162.18 Typical High $245.47 | Professional | 56 · Pre-op care only | $154.88 | $162.18 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,122.02 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,122.02 | $1,698.24 |
Where Tennessee sits
The same service costs 7.1 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· 15th of 51
$2,818
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.