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 $660.69 Median $741.31 Typical High $1,174.90 | Professional | None | $660.69 | $741.31 | $1,174.90 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,148.15 | Facility | None | $50.12 | $138.04 | $1,148.15 |
BCBS Tennessee Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,778.28 | Professional | None | $776.25 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $2,691.53 | Facility | None | $562.34 | $1,047.13 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,202.26 | Professional | None | $676.08 | $851.14 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,370.32 | $5,623.41 | $5,623.41 |
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 $588.84 Median $831.76 Typical High $1,513.56 | Professional | None | $588.84 | $831.76 | $1,513.56 |
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 $331.13 Median $354.81 Typical High $478.63 | Professional | 52 · Reduced service | $331.13 | $354.81 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $141.25 Typical High $190.55 | Professional | 53 · Discontinued | $131.83 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $524.81 Typical High $707.95 | Professional | 54 · Surgery only | $501.19 | $524.81 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $104.71 Typical High $144.54 | Professional | 55 · Aftercare only | $100.00 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $70.79 Typical High $95.50 | Professional | 56 · Pre-op care only | $66.07 | $70.79 | $95.50 |
Where Tennessee sits
The same service costs 4.7 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· 30th of 51
$912
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.