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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $457.09 | Professional | None | $275.42 | $288.40 | $457.09 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,148.15 | Facility | None | $50.12 | $138.04 | $1,148.15 |
BCBS Tennessee Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $660.69 | Professional | None | $309.03 | $398.11 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,148.15 Typical High $2,691.53 | Facility | None | $562.34 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $575.44 | Professional | None | $251.19 | $380.19 | $575.44 |
Lucent Health Setting Professional Modifier None Typical Low $3,090.30 Median $14,791.08 Typical High $14,791.08 | Professional | None | $3,090.30 | $14,791.08 | $14,791.08 |
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 $269.15 Median $426.58 Typical High $660.69 | Professional | None | $269.15 | $426.58 | $660.69 |
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 $138.04 Median $144.54 Typical High $229.09 | Professional | 52 · Reduced service | $138.04 | $144.54 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $91.20 | Professional | 53 · Discontinued | $54.95 | $57.54 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $218.78 Typical High $338.84 | Professional | 54 · Surgery only | $204.17 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $43.65 Typical High $67.61 | Professional | 55 · Aftercare only | $40.74 | $43.65 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.84 Typical High $45.71 | Professional | 56 · Pre-op care only | $27.54 | $28.84 | $45.71 |
Where Tennessee sits
The same service costs 3.9 times more in Wisconsin 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· 17th of 51
$501
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.