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 $1,071.52 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $363.08 | Professional | None | $151.36 | $239.88 | $363.08 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $5,128.61 | Facility | None | $1,000.00 | $1,995.26 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $436.52 | Professional | None | $165.96 | $257.04 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $2,187.76 | Facility | None | $208.93 | $407.38 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $354.81 | Professional | None | $147.91 | $229.09 | $354.81 |
Lucent Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,819.70 | $1,819.70 | $2,238.72 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $426.58 | Professional | None | $162.18 | $251.19 | $426.58 |
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 $74.13 Median $120.23 Typical High $177.83 | Professional | 52 · Reduced service | $74.13 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $47.86 Typical High $72.44 | Professional | 53 · Discontinued | $30.20 | $47.86 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $177.83 Typical High $269.15 | Professional | 54 · Surgery only | $112.20 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $35.48 Typical High $53.70 | Professional | 55 · Aftercare only | $22.39 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $23.99 Typical High $36.31 | Professional | 56 · Pre-op care only | $15.14 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $165.96 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $104.71 | $165.96 | $251.19 |
Where Tennessee sits
The same service costs 3.6 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· 29th of 51
$263
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.