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 $2,238.72 Median $4,265.80 Typical High $14,454.40 | Facility | None | $2,238.72 | $4,265.80 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $2,818.38 | Professional | None | $32.36 | $45.71 | $2,818.38 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $8,317.64 | Facility | None | $1,318.26 | $3,467.37 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $112.20 | Professional | None | $53.70 | $69.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $7,762.47 Typical High $15,488.17 | Facility | None | $602.56 | $7,762.47 | $15,488.17 |
Lucent Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,691.53 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $10,000.00 Typical High $15,848.93 | Facility | None | $3,630.78 | $10,000.00 | $15,848.93 |
United Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $138.04 | Professional | None | $47.86 | $74.13 | $138.04 |
5 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 $16.22 Median $18.62 Typical High $22.91 | Professional | 52 · Reduced service | $16.22 | $18.62 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $9.12 | Professional | 53 · Discontinued | $6.46 | $7.41 | $9.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $27.54 Typical High $34.67 | Professional | 54 · Surgery only | $23.99 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.50 Typical High $6.92 | Professional | 55 · Aftercare only | $4.79 | $5.50 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.72 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.24 | $3.72 | $4.57 |
Where Tennessee sits
The same service costs 93.3 times more in Oregon than in Vermont. 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· 14th 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.