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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,862.09 | Professional | None | $912.01 | $1,023.29 | $1,862.09 |
BCBS Tennessee Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,754.23 | $5,128.61 | $10,964.78 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,348.96 | $2,290.87 |
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 $870.96 Median $1,096.48 Typical High $1,905.46 | Professional | None | $870.96 | $1,096.48 | $1,905.46 |
Lucent Health Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $7,244.36 | Professional | None | $6,918.31 | $6,918.31 | $7,244.36 |
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 $891.25 Median $1,318.26 Typical High $2,137.96 | Professional | None | $891.25 | $1,318.26 | $2,137.96 |
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 $457.09 Median $512.86 Typical High $630.96 | Professional | 52 · Reduced service | $457.09 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $204.17 Typical High $251.19 | Professional | 53 · Discontinued | $181.97 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $776.25 Typical High $954.99 | Professional | 54 · Surgery only | $676.08 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $154.88 Typical High $190.55 | Professional | 55 · Aftercare only | $138.04 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $91.20 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $724.44 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $630.96 | $724.44 | $891.25 |
Where Tennessee sits
The same service costs 6.6 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· 11th of 51
$1,738
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.