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 $323.59 Median $416.87 Typical High $2,570.40 | Professional | None | $323.59 | $416.87 | $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 $537.03 Median $691.83 Typical High $1,148.15 | Professional | None | $537.03 | $691.83 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $8,511.38 Typical High $17,378.01 | Facility | None | $602.56 | $8,511.38 | $17,378.01 |
Lucent Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,388.44 | $3,801.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $8,912.51 Median $18,620.87 Typical High $40,738.03 | Facility | None | $8,912.51 | $18,620.87 | $40,738.03 |
United Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,148.15 | Professional | None | $478.63 | $758.58 | $1,148.15 |
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 $162.18 Median $186.21 Typical High $234.42 | Professional | 52 · Reduced service | $162.18 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $93.33 | Professional | 53 · Discontinued | $64.57 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $281.84 Typical High $346.74 | Professional | 54 · Surgery only | $245.47 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | 55 · Aftercare only | $48.98 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $37.15 Typical High $46.77 | Professional | 56 · Pre-op care only | $32.36 | $37.15 | $46.77 |
Where Tennessee sits
The same service costs 24.0 times more in Arkansas than in New York. 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· 12th of 51
$3,802
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.