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 $2,511.89 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,511.89 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,511.89 | $2,754.23 | $3,801.89 |
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 $2,630.27 Median $3,162.28 Typical High $5,888.44 | Professional | None | $2,630.27 | $3,162.28 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,398.83 | $2,951.21 | $4,570.88 |
Lucent Health Setting Professional Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $23,442.29 | Professional | None | $19,952.62 | $19,952.62 | $23,442.29 |
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 $2,290.87 Median $2,818.38 Typical High $5,754.40 | Professional | None | $2,290.87 | $2,818.38 | $5,754.40 |
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 $1,258.93 Median $1,380.38 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,258.93 | $1,380.38 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $549.54 Typical High $758.58 | Professional | 53 · Discontinued | $501.19 | $549.54 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,041.74 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,905.46 | $2,041.74 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $416.87 Typical High $575.44 | Professional | 55 · Aftercare only | $380.19 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $275.42 Typical High $380.19 | Professional | 56 · Pre-op care only | $251.19 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,905.46 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,905.46 | $2,691.53 |
Where Tennessee sits
The same service costs 5.1 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· 27th of 51
$3,388
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.