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 $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,380.38 | $2,570.40 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,862.09 Median $3,981.07 Typical High $8,511.38 | Facility | None | $1,862.09 | $3,981.07 | $8,511.38 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,737.80 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $3,801.89 Typical High $6,918.31 | Facility | None | $1,230.27 | $3,801.89 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,096.48 | $1,621.81 | $2,454.71 |
Lucent Health Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None | $12,882.50 | $12,882.50 | $12,882.50 |
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 $1,174.90 Median $1,862.09 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,862.09 | $2,884.03 |
2 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 $891.25 Median $933.25 Typical High $1,479.11 | Professional | 54 · Surgery only | $891.25 | $933.25 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $870.96 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $831.76 | $870.96 | $1,380.38 |
Where Tennessee sits
The same service costs 5.4 times more in Wisconsin 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· 6th of 51
$2,951
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.