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 $3,090.30 Typical High $7,585.78 | Facility | None | $2,454.71 | $3,090.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $426.58 | Professional | None | $239.88 | $281.84 | $426.58 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,412.54 | Facility | None | $50.12 | $138.04 | $1,412.54 |
BCBS Tennessee Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $645.65 | Professional | None | $288.40 | $416.87 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $2,691.53 | Facility | None | $676.08 | $1,230.27 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $467.74 | Professional | None | $245.47 | $331.13 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
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 $223.87 Median $323.59 Typical High $575.44 | Professional | None | $223.87 | $323.59 | $575.44 |
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 $120.23 Median $128.82 Typical High $177.83 | Professional | 52 · Reduced service | $120.23 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $70.79 | Professional | 53 · Discontinued | $47.86 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $190.55 Typical High $263.03 | Professional | 54 · Surgery only | $181.97 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.90 Typical High $52.48 | Professional | 55 · Aftercare only | $36.31 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $35.48 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $35.48 |
Where Tennessee sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 33rd of 51
$347
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.