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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $363.08 | Professional | None | $245.47 | $316.23 | $363.08 |
BCBS Tennessee Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $3,630.78 | Facility | None | $954.99 | $1,659.59 | $3,630.78 |
BCBS Tennessee Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $758.58 | Professional | None | $338.84 | $407.38 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $3,801.89 | Facility | None | $588.84 | $1,122.02 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,570.40 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $794.33 | Professional | None | $338.84 | $426.58 | $794.33 |
4 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 $123.03 Median $138.04 Typical High $173.78 | Professional | 52 · Reduced service | $123.03 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | 53 · Discontinued | $48.98 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $41.69 Typical High $52.48 | Professional | 55 · Aftercare only | $36.31 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $28.18 Typical High $34.67 | Professional | 56 · Pre-op care only | $24.55 | $28.18 | $34.67 |
Where Tennessee sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 18th of 51
$525
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.