How much rates vary
Facilitymedian $1,514 · 10th to 90th $676 to $2,818Professionalmedian $66 · 10th to 90th $45 to $490
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 (both parts) Typical Low $33.11 Median $46.77 Typical High $48.98 | Professional | None (both parts) | $33.11 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $13.18 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $28.84 | Professional | TC · Technical part | $19.50 | $28.18 | $28.84 |
BCBS Tennessee Setting Facility Modifier None Typical Low $724.44 Median $1,479.11 Typical High $2,137.96 | Facility | None | $724.44 | $1,479.11 | $2,137.96 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $48.98 | $61.66 | $91.20 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $25.12 | $37.15 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $28.84 | $37.15 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $51.29 | Facility | None | $31.62 | $33.88 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $407.38 | $489.78 | $489.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $162.18 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $245.47 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $46.77 | $56.23 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $22.39 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $33.88 | $60.26 |
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 $16.60 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $16.60 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $9.33 Typical High $9.77 | Professional | 53 · Discontinued | $6.61 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $35.48 Typical High $37.15 | Professional | 54 · Surgery only | $24.55 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $7.08 Typical High $7.41 | Professional | 55 · Aftercare only | $4.90 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $4.68 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.31 | $4.68 | $4.90 |
Where Tennessee sits
The same service costs 3.3 times more in Nebraska 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
$69.18
NE $112NY $33.88
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.