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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,479.11 | $2,344.23 |
BCBS Tennessee Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,584.89 | $2,041.74 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $2,691.53 | Facility | None | $512.86 | $707.95 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,905.46 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $12,022.64 | Professional | None | $10,000.00 | $10,000.00 | $12,022.64 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,380.38 | $2,089.30 | $3,311.31 |
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 $691.83 Median $741.31 Typical High $1,148.15 | Professional | 52 · Reduced service | $691.83 | $741.31 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $295.12 Typical High $467.74 | Professional | 53 · Discontinued | $281.84 | $295.12 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,096.48 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,047.13 | $1,096.48 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $218.78 Typical High $346.74 | Professional | 55 · Aftercare only | $208.93 | $218.78 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $147.91 Typical High $234.42 | Professional | 56 · Pre-op care only | $138.04 | $147.91 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,023.29 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $977.24 | $1,023.29 | $1,621.81 |
Where Tennessee sits
The same service costs 5.5 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· 27th of 51
$1,995
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.