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 $1,380.38 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,380.38 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $223.87 Typical High $316.23 | Professional | None | $109.65 | $223.87 | $316.23 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $537.03 | Professional | None | $158.49 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,905.46 Typical High $3,467.37 | Facility | None | $588.84 | $1,905.46 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $467.74 | Professional | None | $151.36 | $269.15 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,137.96 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $549.54 | Professional | None | $138.04 | $269.15 | $549.54 |
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 $54.95 Median $87.10 Typical High $151.36 | Professional | 52 · Reduced service | $54.95 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $34.67 Typical High $60.26 | Professional | 53 · Discontinued | $22.39 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $128.82 Typical High $229.09 | Professional | 54 · Surgery only | $83.18 | $128.82 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $25.70 Typical High $45.71 | Professional | 55 · Aftercare only | $16.60 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $17.38 Typical High $30.20 | Professional | 56 · Pre-op care only | $10.96 | $17.38 | $30.20 |
Where Tennessee sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 6th of 51
$437
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.