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 $2,344.23 Median $4,265.80 Typical High $7,585.78 | Facility | None | $2,344.23 | $4,265.80 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $2,818.38 | Professional | None | $371.54 | $436.52 | $2,818.38 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $3,162.28 | Facility | None | $50.12 | $138.04 | $3,162.28 |
BCBS Tennessee Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $912.01 | Professional | None | $426.58 | $562.34 | $912.01 |
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 $346.74 Median $562.34 Typical High $1,071.52 | Professional | None | $346.74 | $562.34 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,467.37 | $4,073.80 | $4,073.80 |
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 $407.38 Median $794.33 Typical High $1,096.48 | Professional | None | $407.38 | $794.33 | $1,096.48 |
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 $186.21 Median $194.98 Typical High $309.03 | Professional | 52 · Reduced service | $186.21 | $194.98 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $123.03 | Professional | 53 · Discontinued | $74.13 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $295.12 Typical High $467.74 | Professional | 54 · Surgery only | $281.84 | $295.12 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $58.88 Typical High $93.33 | Professional | 55 · Aftercare only | $56.23 | $58.88 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $39.81 Typical High $61.66 | Professional | 56 · Pre-op care only | $37.15 | $39.81 | $61.66 |
Where Tennessee sits
The same service costs 3.7 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· 25th of 51
$741
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.