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 $72.44 Median $112.20 Typical High $186.21 | Professional | None | $72.44 | $112.20 | $186.21 |
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 $95.50 Median $141.25 Typical High $218.78 | Professional | None | $95.50 | $141.25 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,659.59 | Facility | None | $89.13 | $177.83 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $204.17 | Professional | None | $75.86 | $120.23 | $204.17 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,047.13 | $1,047.13 | $1,258.93 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $2,511.89 | Facility | None | $346.74 | $1,047.13 | $2,511.89 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $229.09 | Professional | None | $91.20 | $138.04 | $229.09 |
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 $36.31 Median $56.23 Typical High $77.62 | Professional | 52 · Reduced service | $36.31 | $56.23 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $22.39 Typical High $30.90 | Professional | 53 · Discontinued | $14.45 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $83.18 Typical High $114.82 | Professional | 54 · Surgery only | $54.95 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $16.98 Typical High $22.91 | Professional | 55 · Aftercare only | $10.96 | $16.98 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $11.22 Typical High $15.49 | Professional | 56 · Pre-op care only | $7.24 | $11.22 | $15.49 |
Where Tennessee sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$178
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.