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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $56.23 Typical High $85.11 | Professional | None | $24.55 | $56.23 | $85.11 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $125.89 Typical High $281.84 | Facility | None | $50.12 | $125.89 | $281.84 |
BCBS Tennessee Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $104.71 | Professional | None | $33.11 | $64.57 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $2,691.53 | Facility | None | $562.34 | $1,047.13 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $58.88 Typical High $100.00 | Professional | None | $25.12 | $58.88 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $616.60 | Professional | None | $501.19 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None Typical Low $30.90 Median $63.10 Typical High $112.20 | Professional | None | $30.90 | $63.10 | $112.20 |
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 $12.30 Median $18.20 Typical High $38.02 | Professional | 52 · Reduced service | $12.30 | $18.20 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.41 Typical High $15.49 | Professional | 53 · Discontinued | $4.90 | $7.41 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $27.54 Typical High $57.54 | Professional | 54 · Surgery only | $18.20 | $27.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $5.50 Typical High $11.48 | Professional | 55 · Aftercare only | $3.63 | $5.50 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.63 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.45 | $3.63 | $7.76 |
Where Tennessee sits
The same service costs 3.3 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· 13th of 51
$79.43
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.