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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,122.02 | $1,698.24 |
BCBS Tennessee Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,754.23 | $5,128.61 | $10,964.78 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,862.09 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $7,943.28 Typical High $16,218.10 | Facility | None | $588.84 | $7,943.28 | $16,218.10 |
Lucent Health Setting Professional Modifier None Typical Low $10,715.19 Median $11,481.54 Typical High $11,481.54 | Professional | None | $10,715.19 | $11,481.54 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $3,311.31 | Professional | None | $1,445.44 | $2,187.76 | $3,311.31 |
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 $489.78 Median $562.34 Typical High $707.95 | Professional | 52 · Reduced service | $489.78 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $223.87 Typical High $281.84 | Professional | 53 · Discontinued | $199.53 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $851.14 Typical High $1,071.52 | Professional | 54 · Surgery only | $741.31 | $851.14 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $169.82 Typical High $213.80 | Professional | 55 · Aftercare only | $147.91 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $112.20 Typical High $141.25 | Professional | 56 · Pre-op care only | $100.00 | $112.20 | $141.25 |
Where Tennessee sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 9th of 51
$3,388
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.