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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,513.56 | $1,659.59 | $2,398.83 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,513.56 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $4,466.84 | Professional | None | $1,905.46 | $2,630.27 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,090.30 Typical High $6,606.93 | Facility | None | $588.84 | $3,090.30 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,737.80 | $1,995.26 | $3,467.37 |
Lucent Health Setting Professional Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | None | $14,791.08 | $14,791.08 | $14,791.08 |
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 $1,778.28 Median $2,570.40 Typical High $3,981.07 | Professional | None | $1,778.28 | $2,570.40 | $3,981.07 |
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 $758.58 Median $831.76 Typical High $1,174.90 | Professional | 52 · Reduced service | $758.58 | $831.76 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $331.13 Typical High $478.63 | Professional | 53 · Discontinued | $302.00 | $331.13 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,258.93 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,148.15 | $1,258.93 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $251.19 Typical High $354.81 | Professional | 55 · Aftercare only | $229.09 | $251.19 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $165.96 Typical High $234.42 | Professional | 56 · Pre-op care only | $151.36 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,174.90 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,174.90 | $1,659.59 |
Where Tennessee sits
The same service costs 6.9 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· 16th of 51
$2,884
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.