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 $50.12 Median $74.13 Typical High $107.15 | Facility | None | $50.12 | $74.13 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $107.15 | Professional | None | $37.15 | $70.79 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | None | $97.72 | $97.72 | $112.20 |
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 $64.57 Median $97.72 Typical High $186.21 | Professional | None | $64.57 | $97.72 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $162.18 | Facility | None | $50.12 | $77.62 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $75.86 Typical High $125.89 | Professional | None | $38.02 | $75.86 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $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 $39.81 Median $75.86 Typical High $141.25 | Professional | None | $39.81 | $75.86 | $141.25 |
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 $18.62 Median $35.48 Typical High $51.29 | Professional | 52 · Reduced service | $18.62 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $14.13 Typical High $20.42 | Professional | 53 · Discontinued | $7.59 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $10.47 Typical High $15.14 | Professional | 55 · Aftercare only | $5.62 | $10.47 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $7.08 Typical High $10.23 | Professional | 56 · Pre-op care only | $3.72 | $7.08 | $10.23 |
Where Tennessee sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 16th of 51
$97.72
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.