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 $2,041.74 Median $2,187.76 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,187.76 | $3,090.30 |
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 $2,041.74 Median $2,398.83 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,398.83 | $4,365.16 |
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 $2,089.30 Median $2,398.83 Typical High $3,630.78 | Professional | None | $2,089.30 | $2,398.83 | $3,630.78 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $16,218.10 Typical High $19,054.61 | Professional | None | $16,218.10 | $16,218.10 | $19,054.61 |
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 $1,905.46 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,905.46 | $2,290.87 | $4,677.35 |
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 $1,023.29 Median $1,096.48 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,023.29 | $1,096.48 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $436.52 Typical High $616.60 | Professional | 53 · Discontinued | $407.38 | $436.52 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,659.59 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,513.56 | $1,659.59 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $331.13 Typical High $457.09 | Professional | 55 · Aftercare only | $302.00 | $331.13 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $218.78 Typical High $309.03 | Professional | 56 · Pre-op care only | $204.17 | $218.78 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,548.82 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,548.82 | $2,137.96 |
Where Tennessee sits
The same service costs 20.9 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· 25th of 51
$2,754
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.