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 $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $1,819.70 | Professional | None | $51.29 | $58.88 | $1,819.70 |
BCBS Tennessee Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
BCBS Tennessee Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $177.83 | Professional | None | $83.18 | $109.65 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $16,982.44 | Facility | None | $512.86 | $1,659.59 | $16,982.44 |
Lucent Health Setting Professional Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | None | $18,620.87 | $18,620.87 | $18,620.87 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $208.93 | Professional | None | $77.62 | $120.23 | $208.93 |
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 $25.70 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $25.70 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $14.79 | Professional | 53 · Discontinued | $10.47 | $11.75 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.91 Typical High $11.22 | Professional | 55 · Aftercare only | $7.76 | $8.91 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.89 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.13 | $5.89 | $7.41 |
Where Tennessee sits
The same service costs 30.9 times more in California than in Idaho. 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· 13th of 51
$977
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.