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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $851.14 | Professional | None | $549.54 | $602.56 | $851.14 |
BCBS Tennessee Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $2,818.38 | Facility | None | $537.03 | $1,258.93 | $2,818.38 |
BCBS Tennessee Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,621.81 | Professional | None | $691.83 | $933.25 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $851.14 Typical High $2,691.53 | Facility | None | $602.56 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,258.93 | Professional | None | $616.60 | $724.44 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,128.61 | Professional | None | $4,786.30 | $4,786.30 | $5,128.61 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,412.54 | Professional | None | $630.96 | $912.01 | $1,412.54 |
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 $275.42 Median $302.00 Typical High $426.58 | Professional | 52 · Reduced service | $275.42 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $120.23 Typical High $169.82 | Professional | 53 · Discontinued | $109.65 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $446.68 Typical High $645.65 | Professional | 54 · Surgery only | $407.38 | $446.68 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $89.13 Typical High $128.82 | Professional | 55 · Aftercare only | $81.28 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $60.26 Typical High $85.11 | Professional | 56 · Pre-op care only | $54.95 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $416.87 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $380.19 | $416.87 | $602.56 |
Where Tennessee sits
The same service costs 5.9 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· 16th of 51
$1,023
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.