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 $851.14 Median $891.25 Typical High $1,412.54 | Professional | None | $851.14 | $891.25 | $1,412.54 |
BCBS Tennessee Setting Facility Modifier None Typical Low $524.81 Median $1,148.15 Typical High $2,630.27 | Facility | None | $524.81 | $1,148.15 | $2,630.27 |
BCBS Tennessee Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,137.96 | Professional | None | $977.24 | $1,288.25 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $2,691.53 | Facility | None | $588.84 | $831.76 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,659.59 | Professional | None | $691.83 | $1,071.52 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $2,511.89 | Facility | None | $346.74 | $1,047.13 | $2,511.89 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $1,862.09 | Professional | None | $851.14 | $1,288.25 | $1,862.09 |
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 $426.58 Median $446.68 Typical High $707.95 | Professional | 52 · Reduced service | $426.58 | $446.68 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $177.83 Typical High $281.84 | Professional | 53 · Discontinued | $169.82 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $676.08 Typical High $1,047.13 | Professional | 54 · Surgery only | $630.96 | $676.08 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $134.90 Typical High $208.93 | Professional | 55 · Aftercare only | $125.89 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $89.13 Typical High $141.25 | Professional | 56 · Pre-op care only | $85.11 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $630.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $588.84 | $630.96 | $977.24 |
Where Tennessee sits
The same service costs 4.4 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· 21st of 51
$1,202
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.