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 $1,819.70 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,041.74 | $2,754.23 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,174.90 Median $2,238.72 Typical High $5,248.07 | Facility | None | $1,174.90 | $2,238.72 | $5,248.07 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,890.45 | Professional | None | $2,137.96 | $2,630.27 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,290.87 Typical High $4,168.69 | Facility | None | $602.56 | $2,290.87 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $3,715.35 | Professional | None | $1,949.84 | $2,089.30 | $3,715.35 |
Lucent Health Setting Professional Modifier None Typical Low $19,498.45 Median $20,892.96 Typical High $20,892.96 | Professional | None | $19,498.45 | $20,892.96 | $20,892.96 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,456.54 | Facility | None | $1,202.26 | $3,801.89 | $6,456.54 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,570.40 | $4,265.80 |
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 $912.01 Median $954.99 Typical High $1,288.25 | Professional | 52 · Reduced service | $912.01 | $954.99 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $380.19 Typical High $512.86 | Professional | 53 · Discontinued | $363.08 | $380.19 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,412.54 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,380.38 | $1,412.54 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $288.40 Typical High $389.05 | Professional | 55 · Aftercare only | $275.42 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $190.55 Typical High $257.04 | Professional | 56 · Pre-op care only | $181.97 | $190.55 | $257.04 |
Where Tennessee sits
The same service costs 7.1 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· 24th of 51
$2,630
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.