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 $2,089.30 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,290.87 | $2,951.21 |
BCBS Tennessee Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,754.23 | $5,128.61 | $10,964.78 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $4,073.80 | Professional | None | $2,344.23 | $3,019.95 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $3,801.89 | Professional | None | $2,089.30 | $2,691.53 | $3,801.89 |
Lucent Health Setting Professional Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $20,417.38 | Professional | None | $16,595.87 | $16,595.87 | $20,417.38 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,819.70 | $2,454.71 | $4,570.88 |
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 $1,047.13 Median $1,071.52 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,047.13 | $1,071.52 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $426.58 Typical High $588.84 | Professional | 53 · Discontinued | $416.87 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,621.81 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,548.82 | $1,621.81 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $323.59 Typical High $436.52 | Professional | 55 · Aftercare only | $316.23 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $213.80 Typical High $295.12 | Professional | 56 · Pre-op care only | $208.93 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,513.56 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,513.56 | $2,041.74 |
Where Tennessee sits
The same service costs 23.4 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· 21st of 51
$3,020
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.