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 $602.56 Median $2,290.87 Typical High $7,585.78 | Facility | None | $602.56 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | None | $138.04 | $213.80 | $302.00 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,905.46 | Facility | None | $407.38 | $812.83 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $562.34 | Professional | None | $181.97 | $295.12 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $181.97 Typical High $346.74 | Facility | None | $50.12 | $181.97 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $229.09 Typical High $380.19 | Professional | None | $144.54 | $229.09 | $380.19 |
Lucent Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,862.09 | $1,862.09 | $2,454.71 |
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 $147.91 Median $223.87 Typical High $416.87 | Professional | None | $147.91 | $223.87 | $416.87 |
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 $69.18 Median $104.71 Typical High $151.36 | Professional | 52 · Reduced service | $69.18 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $42.66 Typical High $60.26 | Professional | 53 · Discontinued | $27.54 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $158.49 Typical High $229.09 | Professional | 54 · Surgery only | $104.71 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $31.62 Typical High $45.71 | Professional | 55 · Aftercare only | $20.89 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $21.38 Typical High $30.20 | Professional | 56 · Pre-op care only | $13.80 | $21.38 | $30.20 |
Where Tennessee sits
The same service costs 3.9 times more in Alaska than in Maryland. 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
$288
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.