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 $1,819.70 Median $2,951.21 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,951.21 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $478.63 | Professional | None | $316.23 | $346.74 | $478.63 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $831.76 | Professional | None | $389.05 | $512.86 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,137.96 Typical High $3,801.89 | Facility | None | $831.76 | $2,137.96 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $691.83 | Professional | None | $338.84 | $436.52 | $691.83 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,715.35 | Professional | None | $3,019.95 | $3,019.95 | $3,715.35 |
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 $346.74 Median $512.86 Typical High $812.83 | Professional | None | $346.74 | $512.86 | $812.83 |
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 $144.54 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $57.54 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $245.47 Typical High $281.84 | Professional | 54 · Surgery only | $218.78 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $43.65 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.11 Typical High $38.02 | Professional | 56 · Pre-op care only | $28.84 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $229.09 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $204.17 | $229.09 | $263.03 |
Where Tennessee sits
The same service costs 3.8 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· 13th of 51
$661
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.