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 $1,000.00 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,148.15 | $1,659.59 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $6,309.57 | Facility | None | $1,230.27 | $2,570.40 | $6,309.57 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,311.31 | Professional | None | $1,445.44 | $1,778.28 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,311.31 Typical High $6,760.83 | Facility | None | $588.84 | $3,311.31 | $6,760.83 |
Lucent Health Setting Professional Modifier None Typical Low $8,912.51 Median $12,882.50 Typical High $12,882.50 | Professional | None | $8,912.51 | $12,882.50 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,513.56 | $2,238.72 | $3,548.13 |
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 $501.19 Median $562.34 Typical High $707.95 | Professional | 52 · Reduced service | $501.19 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $199.53 | $229.09 | $281.84 |
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 $114.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $100.00 | $114.82 | $141.25 |
Where Tennessee sits
The same service costs 147.9 times more in Alaska 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· 16th of 51
$2,344
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.