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 $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,348.96 | Professional | None | $912.01 | $933.25 | $1,348.96 |
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 $1,023.29 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,348.96 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,778.28 Typical High $3,235.94 | Facility | None | $588.84 | $1,778.28 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,819.70 | Professional | None | $933.25 | $1,148.15 | $1,819.70 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $9,332.54 | Professional | None | $7,762.47 | $7,762.47 | $9,332.54 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,548.82 | $4,570.88 | $8,912.51 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,318.26 Typical High $2,238.72 | Professional | None | $891.25 | $1,318.26 | $2,238.72 |
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 $467.74 Typical High $676.08 | Professional | 52 · Reduced service | $457.09 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $269.15 | Professional | 53 · Discontinued | $186.21 | $186.21 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $707.95 Typical High $1,023.29 | Professional | 54 · Surgery only | $691.83 | $707.95 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $141.25 Typical High $204.17 | Professional | 55 · Aftercare only | $138.04 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $93.33 Typical High $134.90 | Professional | 56 · Pre-op care only | $91.20 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $660.69 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $645.65 | $660.69 | $954.99 |
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· 15th 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.