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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $2,570.40 | Professional | None | $380.19 | $436.52 | $2,570.40 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,348.96 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,348.96 | $4,897.79 | $10,471.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,737.80 | Professional | None | $812.83 | $1,071.52 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,623.41 Typical High $11,481.54 | Facility | None | $602.56 | $5,623.41 | $11,481.54 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $6,309.57 Typical High $6,309.57 | Professional | None | $5,370.32 | $6,309.57 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $870.96 | Professional | None | $323.59 | $512.86 | $870.96 |
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 $190.55 Median $218.78 Typical High $275.42 | Professional | 52 · Reduced service | $190.55 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $87.10 Typical High $109.65 | Professional | 53 · Discontinued | $77.62 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $331.13 Typical High $407.38 | Professional | 54 · Surgery only | $288.40 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $66.07 Typical High $83.18 | Professional | 55 · Aftercare only | $57.54 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $43.65 Typical High $54.95 | Professional | 56 · Pre-op care only | $38.02 | $43.65 | $54.95 |
Where Tennessee sits
The same service costs 14.8 times more in Texas than in Maine. 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· 5th of 51
$2,951
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.