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 $58.88 Median $58.88 Typical High $83.18 | Facility | None | $58.88 | $58.88 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $138.04 | Professional | None | $58.88 | $83.18 | $138.04 |
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 $77.62 Median $117.49 Typical High $218.78 | Professional | None | $77.62 | $117.49 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $165.96 | Facility | None | $50.12 | $89.13 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $151.36 | Professional | None | $63.10 | $93.33 | $151.36 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None | $724.44 | $724.44 | $933.25 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,737.80 | Facility | None | $107.15 | $436.52 | $1,737.80 |
United Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $165.96 | Professional | None | $61.66 | $91.20 | $165.96 |
4 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 $29.51 Median $41.69 Typical High $58.88 | Professional | 52 · Reduced service | $29.51 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.60 Typical High $23.44 | Professional | 53 · Discontinued | $12.02 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $12.59 Typical High $17.78 | Professional | 55 · Aftercare only | $8.91 | $12.59 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.32 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.89 | $8.32 | $11.75 |
Where Tennessee sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$112
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.