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 $42.66 Median $64.57 Typical High $93.33 | Professional | None | $42.66 | $64.57 | $93.33 |
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 $56.23 Median $93.33 Typical High $169.82 | Professional | None | $56.23 | $93.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $162.18 | Facility | None | $50.12 | $72.44 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $72.44 Typical High $120.23 | Professional | None | $45.71 | $72.44 | $120.23 |
Lucent Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $707.95 | Professional | None | $575.44 | $575.44 | $707.95 |
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 $47.86 Median $72.44 Typical High $134.90 | Professional | None | $47.86 | $72.44 | $134.90 |
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 $21.38 Median $32.36 Typical High $45.71 | Professional | 52 · Reduced service | $21.38 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.88 Typical High $18.62 | Professional | 53 · Discontinued | $8.51 | $12.88 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $47.86 Typical High $69.18 | Professional | 54 · Surgery only | $32.36 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $9.55 Typical High $13.80 | Professional | 55 · Aftercare only | $6.46 | $9.55 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $6.46 Typical High $9.33 | Professional | 56 · Pre-op care only | $4.27 | $6.46 | $9.33 |
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· 17th of 51
$91.20
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.