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 $2,187.76 Median $2,398.83 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,398.83 | $3,311.31 |
BCBS Tennessee Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $3,981.07 | Facility | None | $501.19 | $1,584.89 | $3,981.07 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $4,897.79 | Professional | None | $2,238.72 | $2,691.53 | $4,897.79 |
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 $2,290.87 Median $2,570.40 Typical High $3,981.07 | Professional | None | $2,290.87 | $2,570.40 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $19,952.62 | Professional | None | $17,378.01 | $17,378.01 | $19,952.62 |
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 $2,089.30 Median $2,511.89 Typical High $5,011.87 | Professional | None | $2,089.30 | $2,511.89 | $5,011.87 |
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 $1,096.48 Median $1,202.26 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $660.69 | Professional | 53 · Discontinued | $436.52 | $478.63 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,778.28 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,659.59 | $1,778.28 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $354.81 Typical High $501.19 | Professional | 55 · Aftercare only | $331.13 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $331.13 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,659.59 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,659.59 | $2,344.23 |
Where Tennessee sits
The same service costs 21.4 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· 26th of 51
$3,020
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.