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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,288.25 | $1,778.28 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,949.84 | Facility | None | $407.38 | $812.83 | $1,949.84 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,380.38 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $363.08 Typical High $676.08 | Facility | None | $51.29 | $363.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,737.80 | Professional | None | $851.14 | $954.99 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $2,511.89 | Facility | None | $346.74 | $1,047.13 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,258.93 | $2,089.30 |
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 $812.83 Median $812.83 Typical High $1,230.27 | Professional | 54 · Surgery only | $812.83 | $812.83 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $1,148.15 |
Where Tennessee sits
The same service costs 6.3 times more in Wyoming 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· 32nd of 51
$1,230
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.