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 $338.84 Median $380.19 Typical High $602.56 | Professional | None | $338.84 | $380.19 | $602.56 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $3,162.28 | Facility | None | $50.12 | $138.04 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,148.15 Typical High $3,090.30 | Facility | None | $562.34 | $1,148.15 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $660.69 | Professional | None | $354.81 | $457.09 | $660.69 |
Lucent Health Setting Professional Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,162.28 | $4,168.69 | $4,168.69 |
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 $295.12 Median $398.11 Typical High $794.33 | Professional | None | $295.12 | $398.11 | $794.33 |
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 $169.82 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $169.82 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $67.61 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $371.54 | Professional | 54 · Surgery only | $257.04 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $74.13 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $50.12 |
Where Tennessee sits
The same service costs 4.6 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· 31st of 51
$479
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.