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 $54.95 Median $54.95 Typical High $75.86 | Facility | None | $54.95 | $54.95 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $128.82 | Professional | None | $54.95 | $77.62 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $144.54 | Professional | None | $77.62 | $85.11 | $144.54 |
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 $70.79 Median $107.15 Typical High $199.53 | Professional | None | $70.79 | $107.15 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $162.18 | Facility | None | $50.12 | $81.28 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $134.90 | Professional | None | $57.54 | $83.18 | $134.90 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $851.14 | Professional | None | $660.69 | $660.69 | $851.14 |
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 $54.95 Median $81.28 Typical High $151.36 | Professional | None | $54.95 | $81.28 | $151.36 |
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 $27.54 Median $38.02 Typical High $53.70 | Professional | 52 · Reduced service | $27.54 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $15.14 Typical High $21.38 | Professional | 53 · Discontinued | $10.96 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.48 Typical High $16.22 | Professional | 55 · Aftercare only | $8.13 | $11.48 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $7.59 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.50 | $7.59 | $10.72 |
Where Tennessee sits
The same service costs 3.7 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· 22nd of 51
$102
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.