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 $60.26 Median $85.11 Typical High $123.03 | Professional | None | $60.26 | $85.11 | $123.03 |
BCBS Tennessee Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,862.09 | Facility | None | $371.54 | $724.44 | $1,862.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $67.61 Median $107.15 Typical High $223.87 | Professional | None | $67.61 | $107.15 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $177.83 | Facility | None | $50.12 | $93.33 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $154.88 | Professional | None | $64.57 | $93.33 | $154.88 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,000.00 | Professional | None | $741.31 | $741.31 | $1,000.00 |
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 $61.66 Median $91.20 Typical High $169.82 | Professional | None | $61.66 | $91.20 | $169.82 |
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 $30.20 Median $42.66 Typical High $61.66 | Professional | 52 · Reduced service | $30.20 | $42.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.98 Typical High $24.55 | Professional | 53 · Discontinued | $12.02 | $16.98 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $64.57 Typical High $91.20 | Professional | 54 · Surgery only | $45.71 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.88 Typical High $18.20 | Professional | 55 · Aftercare only | $9.12 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $8.51 Typical High $12.30 | Professional | 56 · Pre-op care only | $6.03 | $8.51 | $12.30 |
Where Tennessee sits
The same service costs 3.8 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· 19th of 51
$115
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.