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 $416.87 Median $457.09 Typical High $660.69 | Professional | None | $416.87 | $457.09 | $660.69 |
BCBS Tennessee Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,754.23 | $5,128.61 | $10,964.78 |
BCBS Tennessee Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,122.02 | Professional | None | $489.78 | $660.69 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $5,248.07 Typical High $11,220.18 | Facility | None | $588.84 | $5,248.07 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $954.99 | Professional | None | $426.58 | $616.60 | $954.99 |
Lucent Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,890.45 | Professional | None | $3,388.44 | $3,388.44 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,548.82 | $4,570.88 | $8,912.51 |
United Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $1,047.13 | Professional | None | $446.68 | $645.65 | $1,047.13 |
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 $208.93 Median $213.80 Typical High $323.59 | Professional | 52 · Reduced service | $208.93 | $213.80 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $87.10 Typical High $128.82 | Professional | 53 · Discontinued | $83.18 | $87.10 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $323.59 Typical High $489.78 | Professional | 54 · Surgery only | $309.03 | $323.59 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $64.57 Typical High $97.72 | Professional | 55 · Aftercare only | $61.66 | $64.57 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $42.66 Typical High $64.57 | Professional | 56 · Pre-op care only | $41.69 | $42.66 | $64.57 |
Where Tennessee sits
The same service costs 3.9 times more in Alaska than in New York. 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· 3rd of 51
$1,862
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.