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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $524.81 | Professional | None | $346.74 | $363.08 | $524.81 |
BCBS Tennessee Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $5,128.61 | Facility | None | $933.25 | $1,905.46 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $851.14 | Professional | None | $380.19 | $501.19 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,778.28 Typical High $3,715.35 | Facility | None | $426.58 | $1,778.28 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $724.44 | Professional | None | $338.84 | $416.87 | $724.44 |
Lucent Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,884.03 | Professional | None | $2,630.27 | $2,630.27 | $2,884.03 |
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 $338.84 Median $501.19 Typical High $794.33 | Professional | None | $338.84 | $501.19 | $794.33 |
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 $263.03 Median $269.15 Typical High $389.05 | Professional | 54 · Surgery only | $263.03 | $269.15 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $251.19 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $245.47 | $251.19 | $363.08 |
Where Tennessee sits
The same service costs 6.2 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· 3rd of 51
$1,122
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.