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 $1,071.52 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $575.44 | Professional | None | $269.15 | $389.05 | $575.44 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $5,128.61 | Facility | None | $1,000.00 | $1,995.26 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $912.01 | Professional | None | $309.03 | $478.63 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,041.74 Typical High $3,715.35 | Facility | None | $524.81 | $2,041.74 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $776.25 | Professional | None | $257.04 | $389.05 | $776.25 |
Lucent Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,467.37 | $3,548.13 | $3,548.13 |
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 $275.42 Median $478.63 Typical High $831.76 | Professional | None | $275.42 | $478.63 | $831.76 |
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 $134.90 Median $194.98 Typical High $288.40 | Professional | 52 · Reduced service | $134.90 | $194.98 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $77.62 Typical High $114.82 | Professional | 53 · Discontinued | $53.70 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $295.12 Typical High $436.52 | Professional | 54 · Surgery only | $204.17 | $295.12 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $58.88 Typical High $87.10 | Professional | 55 · Aftercare only | $40.74 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.90 Typical High $57.54 | Professional | 56 · Pre-op care only | $26.92 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $275.42 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $190.55 | $275.42 | $407.38 |
Where Tennessee sits
The same service costs 4.8 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· 9th of 51
$646
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.