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 $213.80 Median $2,041.74 Typical High $3,162.28 | Professional | None | $213.80 | $2,041.74 | $3,162.28 |
BCBS Tennessee Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $3,467.37 | Facility | None | $831.76 | $1,584.89 | $3,467.37 |
BCBS Tennessee Setting Professional Modifier None Typical Low $257.04 Median $794.33 Typical High $3,715.35 | Professional | None | $257.04 | $794.33 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,288.25 Typical High $5,248.07 | Facility | None | $851.14 | $1,288.25 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $1,380.38 Typical High $3,235.94 | Professional | None | $208.93 | $1,380.38 | $3,235.94 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $20,892.96 Typical High $20,892.96 | Professional | None | $16,218.10 | $20,892.96 | $20,892.96 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $218.78 Median $1,380.38 Typical High $3,981.07 | Professional | None | $218.78 | $1,380.38 | $3,981.07 |
2 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 54 · Surgery only Typical Low $162.18 Median $331.13 Typical High $2,344.23 | Professional | 54 · Surgery only | $162.18 | $331.13 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $309.03 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $151.36 | $309.03 | $2,187.76 |
Where Tennessee sits
The same service costs 7.1 times more in Oregon 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· 20th of 51
$1,698
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.