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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $154.88 | Professional | None | $83.18 | $114.82 | $154.88 |
BCBS Tennessee Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $1,862.09 | Facility | None | $398.11 | $741.31 | $1,862.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $295.12 | Professional | None | $107.15 | $154.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $1,659.59 | Facility | None | $371.54 | $467.74 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $239.88 | Professional | None | $85.11 | $134.90 | $239.88 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $2,511.89 | Facility | None | $346.74 | $1,047.13 | $2,511.89 |
United Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $269.15 | Professional | None | $91.20 | $158.49 | $269.15 |
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 $41.69 Median $57.54 Typical High $77.62 | Professional | 52 · Reduced service | $41.69 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $30.90 | Professional | 53 · Discontinued | $16.60 | $22.91 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $85.11 Typical High $117.49 | Professional | 54 · Surgery only | $61.66 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.98 Typical High $23.44 | Professional | 55 · Aftercare only | $12.30 | $16.98 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.48 Typical High $15.49 | Professional | 56 · Pre-op care only | $8.32 | $11.48 | $15.49 |
Where Tennessee sits
The same service costs 3.5 times more in Alaska than in Indiana. 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
$204
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.