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 $67.61 Median $67.61 Typical High $93.33 | Facility | None | $67.61 | $67.61 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $131.83 | Professional | None | $67.61 | $93.33 | $131.83 |
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 $79.43 Median $123.03 Typical High $245.47 | Professional | None | $79.43 | $123.03 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $162.18 | Facility | None | $50.12 | $83.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $165.96 | Professional | None | $70.79 | $100.00 | $165.96 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None | $776.25 | $776.25 | $1,023.29 |
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 $69.18 Median $102.33 Typical High $186.21 | Professional | None | $69.18 | $102.33 | $186.21 |
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 $33.88 Median $46.77 Typical High $66.07 | Professional | 52 · Reduced service | $33.88 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.62 Typical High $26.92 | Professional | 53 · Discontinued | $13.80 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $14.13 Typical High $19.95 | Professional | 55 · Aftercare only | $10.23 | $14.13 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.33 Typical High $13.18 | Professional | 56 · Pre-op care only | $6.76 | $9.33 | $13.18 |
Where Tennessee sits
The same service costs 3.8 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· 19th of 51
$126
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.