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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,348.96 | Professional | None | $977.24 | $1,096.48 | $1,348.96 |
BCBS Tennessee Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,467.37 | Facility | None | $870.96 | $1,621.81 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,412.54 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,258.93 Typical High $2,691.53 | Facility | None | $588.84 | $1,258.93 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $2,041.74 | Professional | None | $933.25 | $1,174.90 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,762.47 | Professional | None | $7,413.10 | $7,413.10 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $2,290.87 | Professional | None | $954.99 | $1,412.54 | $2,290.87 |
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 $489.78 Median $549.54 Typical High $676.08 | Professional | 52 · Reduced service | $489.78 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $194.98 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $831.76 Typical High $1,023.29 | Professional | 54 · Surgery only | $741.31 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $204.17 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $109.65 Typical High $134.90 | Professional | 56 · Pre-op care only | $97.72 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $776.25 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $691.83 | $776.25 | $954.99 |
Where Tennessee sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 16th of 51
$1,585
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.