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 $891.25 Median $1,023.29 Typical High $1,584.89 | Professional | None | $891.25 | $1,023.29 | $1,584.89 |
BCBS Tennessee Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,513.56 | $1,949.84 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $15,488.17 | Facility | None | $512.86 | $912.01 | $15,488.17 |
Lucent Health Setting Professional Modifier None Typical Low $10,232.93 Median $12,589.25 Typical High $12,589.25 | Professional | None | $10,232.93 | $12,589.25 | $12,589.25 |
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 $1,318.26 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,318.26 | $2,089.30 | $3,467.37 |
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 $446.68 Median $512.86 Typical High $630.96 | Professional | 52 · Reduced service | $446.68 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $758.58 Typical High $954.99 | Professional | 54 · Surgery only | $660.69 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $151.36 Typical High $190.55 | Professional | 55 · Aftercare only | $134.90 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $89.13 | $102.33 | $125.89 |
Where Tennessee sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 19th of 51
$1,862
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.