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 $2,630.27 Median $3,235.94 Typical High $7,585.78 | Facility | None | $2,630.27 | $3,235.94 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $5,370.32 | Professional | None | $3,235.94 | $3,388.44 | $5,370.32 |
BCBS Tennessee Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
BCBS Tennessee Setting Professional Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $7,943.28 | Professional | None | $3,715.35 | $4,677.35 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $6,760.83 | Professional | None | $3,019.95 | $4,466.84 | $6,760.83 |
Lucent Health Setting Professional Modifier None Typical Low $23,442.29 Median $27,542.29 Typical High $27,542.29 | Professional | None | $23,442.29 | $27,542.29 | $27,542.29 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $7,943.28 | Professional | None | $3,235.94 | $5,128.61 | $7,943.28 |
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 $1,621.81 Median $1,698.24 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,621.81 | $1,698.24 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $676.08 Typical High $1,071.52 | Professional | 53 · Discontinued | $645.65 | $676.08 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,570.40 Typical High $3,981.07 | Professional | 54 · Surgery only | $2,398.83 | $2,570.40 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $512.86 Typical High $794.33 | Professional | 55 · Aftercare only | $478.63 | $512.86 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $338.84 Typical High $537.03 | Professional | 56 · Pre-op care only | $323.59 | $338.84 | $537.03 |
Where Tennessee sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 48th of 51
$3,020
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.