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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $85.11 | Professional | None | $40.74 | $61.66 | $85.11 |
BCBS Tennessee Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,862.09 | Facility | None | $371.54 | $724.44 | $1,862.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $117.49 | Professional | None | $53.70 | $77.62 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $162.18 | Facility | None | $50.12 | $67.61 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $112.20 | Professional | None | $42.66 | $67.61 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Professional | None | $630.96 | $630.96 | $758.58 |
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 $50.12 Median $74.13 Typical High $123.03 | Professional | None | $50.12 | $74.13 | $123.03 |
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 $20.42 Median $30.90 Typical High $41.69 | Professional | 52 · Reduced service | $20.42 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.30 Typical High $16.60 | Professional | 53 · Discontinued | $8.13 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.20 Median $45.71 Typical High $63.10 | Professional | 54 · Surgery only | $30.20 | $45.71 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.33 Typical High $12.59 | Professional | 55 · Aftercare only | $6.03 | $9.33 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.17 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.07 | $6.17 | $8.32 |
Where Tennessee sits
The same service costs 3.4 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· 15th of 51
$91.20
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.