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 $162.18 Median $269.15 Typical High $380.19 | Professional | None | $162.18 | $269.15 | $380.19 |
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 $190.55 Median $331.13 Typical High $707.95 | Professional | None | $190.55 | $331.13 | $707.95 |
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 $169.82 Median $295.12 Typical High $446.68 | Professional | None | $169.82 | $295.12 | $446.68 |
Lucent Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,162.28 | Professional | None | $2,398.83 | $2,398.83 | $3,162.28 |
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 $165.96 Median $275.42 Typical High $512.86 | Professional | None | $165.96 | $275.42 | $512.86 |
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 $81.28 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $81.28 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $53.70 Typical High $77.62 | Professional | 53 · Discontinued | $32.36 | $53.70 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $199.53 Typical High $288.40 | Professional | 54 · Surgery only | $123.03 | $199.53 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $39.81 Typical High $57.54 | Professional | 55 · Aftercare only | $24.55 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $26.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $16.22 | $26.92 | $38.02 |
Where Tennessee sits
The same service costs 3.8 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· 19th of 51
$331
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.