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 $3,981.07 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,981.07 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,047.13 | Professional | None | $676.08 | $758.58 | $1,047.13 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,412.54 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,584.89 | Professional | None | $707.95 | $851.14 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,548.13 Typical High $6,606.93 | Facility | None | $831.76 | $3,548.13 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,258.93 | Professional | None | $724.44 | $812.83 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
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 $676.08 Median $812.83 Typical High $1,584.89 | Professional | None | $676.08 | $812.83 | $1,584.89 |
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 $338.84 Median $371.54 Typical High $512.86 | Professional | 52 · Reduced service | $338.84 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $147.91 Typical High $204.17 | Professional | 53 · Discontinued | $134.90 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $562.34 Typical High $776.25 | Professional | 54 · Surgery only | $512.86 | $562.34 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $154.88 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $74.13 Typical High $102.33 | Professional | 56 · Pre-op care only | $67.61 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $524.81 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $478.63 | $524.81 | $724.44 |
Where Tennessee sits
The same service costs 25.1 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· 29th of 51
$933
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.