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 $38.90 Median $38.90 Typical High $54.95 | Facility | None | $38.90 | $38.90 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $79.43 | Professional | None | $38.90 | $54.95 | $79.43 |
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 $51.29 Median $79.43 Typical High $144.54 | Professional | None | $51.29 | $79.43 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $52.48 Typical High $162.18 | Facility | None | $42.66 | $52.48 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $100.00 | Professional | None | $40.74 | $61.66 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | None | $467.74 | $467.74 | $575.44 |
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 $39.81 Median $60.26 Typical High $112.20 | Professional | None | $39.81 | $60.26 | $112.20 |
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 $19.50 Median $27.54 Typical High $38.90 | Professional | 52 · Reduced service | $19.50 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $10.96 Typical High $15.85 | Professional | 53 · Discontinued | $7.76 | $10.96 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $8.32 Typical High $11.75 | Professional | 55 · Aftercare only | $5.89 | $8.32 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $5.50 Typical High $7.94 | Professional | 56 · Pre-op care only | $3.89 | $5.50 | $7.94 |
Where Tennessee sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 18th of 51
$75.86
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.