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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $1,621.81 Typical High $2,570.40 | Professional | None | $144.54 | $1,621.81 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $199.53 Typical High $1,659.59 | Professional | 54 · Surgery only | $104.71 | $199.53 | $1,659.59 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,122.02 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,122.02 | $3,090.30 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $177.83 Median $549.54 Typical High $3,715.35 | Professional | None | $177.83 | $549.54 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,801.89 Typical High $6,760.83 | Facility | None | $812.83 | $3,801.89 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $562.34 Typical High $3,019.95 | Professional | None | $144.54 | $562.34 | $3,019.95 |
Lucent Health Setting Professional Modifier None Typical Low $11,220.18 Median $13,803.84 Typical High $13,803.84 | Professional | None | $11,220.18 | $13,803.84 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $154.88 Median $1,479.11 Typical High $3,630.78 | Professional | None | $154.88 | $1,479.11 | $3,630.78 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 79 · Unrelated procedure after surgery | $977.24 | $977.24 | $977.24 |
Where Tennessee sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 12th of 51
$2,042
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.