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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $331.13 | Professional | None | $141.25 | $234.42 | $331.13 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,905.46 | Facility | None | $407.38 | $812.83 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $616.60 | Professional | None | $162.18 | $281.84 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $181.97 Typical High $346.74 | Facility | None | $50.12 | $181.97 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $389.05 | Professional | None | $147.91 | $257.04 | $389.05 |
Lucent Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,089.30 | $2,754.23 |
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 $144.54 Median $245.47 Typical High $446.68 | Professional | None | $144.54 | $245.47 | $446.68 |
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 $70.79 Median $117.49 Typical High $165.96 | Professional | 52 · Reduced service | $70.79 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $46.77 Typical High $66.07 | Professional | 53 · Discontinued | $28.18 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $173.78 Typical High $251.19 | Professional | 54 · Surgery only | $104.71 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $34.67 Typical High $50.12 | Professional | 55 · Aftercare only | $20.89 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $23.44 Typical High $33.11 | Professional | 56 · Pre-op care only | $14.13 | $23.44 | $33.11 |
Where Tennessee sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 17th of 51
$288
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.