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 $60.26 Median $61.66 Typical High $91.20 | Professional | None | $60.26 | $61.66 | $91.20 |
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 $69.18 Median $83.18 Typical High $123.03 | Professional | None | $69.18 | $83.18 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $478.63 Typical High $912.01 | Facility | None | $50.12 | $478.63 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $123.03 | Professional | None | $64.57 | $70.79 | $123.03 |
Lucent Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | None | $575.44 | $575.44 | $676.08 |
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 $69.18 Median $83.18 Typical High $138.04 | Professional | None | $69.18 | $83.18 | $138.04 |
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 $30.20 Median $30.90 Typical High $42.66 | Professional | 52 · Reduced service | $30.20 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $16.98 | Professional | 53 · Discontinued | $12.02 | $12.30 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $46.77 Typical High $63.10 | Professional | 54 · Surgery only | $44.67 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $9.33 Typical High $12.59 | Professional | 55 · Aftercare only | $8.91 | $9.33 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.17 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.03 | $6.17 | $8.51 |
Where Tennessee sits
The same service costs 5.5 times more in Arkansas 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· 3rd of 51
$263
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.