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 $1,071.52 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $426.58 | Professional | None | $138.04 | $269.15 | $426.58 |
BCBS Tennessee Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $2,570.40 | Facility | None | $524.81 | $1,122.02 | $2,570.40 |
BCBS Tennessee Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $616.60 | Professional | None | $177.83 | $331.13 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,000.00 Typical High $1,819.70 | Facility | None | $389.05 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $281.84 Typical High $501.19 | Professional | None | $147.91 | $281.84 | $501.19 |
Lucent Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,691.53 | Professional | None | $2,238.72 | $2,238.72 | $2,691.53 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $154.88 Median $302.00 Typical High $588.84 | Professional | None | $154.88 | $302.00 | $588.84 |
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 $134.90 Typical High $186.21 | Professional | 52 · Reduced service | $69.18 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $53.70 Typical High $74.13 | Professional | 53 · Discontinued | $27.54 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $204.17 Typical High $281.84 | Professional | 54 · Surgery only | $104.71 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $40.74 Typical High $56.23 | Professional | 55 · Aftercare only | $20.89 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $26.92 Typical High $37.15 | Professional | 56 · Pre-op care only | $13.80 | $26.92 | $37.15 |
Where Tennessee sits
The same service costs 3.9 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· 13th of 51
$437
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.