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 $2,041.74 Median $2,187.76 Typical High $3,388.44 | Professional | None | $2,041.74 | $2,187.76 | $3,388.44 |
BCBS Tennessee Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $3,981.07 | Facility | None | $501.19 | $1,584.89 | $3,981.07 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $3,801.89 | Professional | None | $1,819.70 | $2,344.23 | $3,801.89 |
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 $2,137.96 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,137.96 | $2,818.38 | $3,981.07 |
Lucent Health Setting Professional Modifier None Typical Low $15,848.93 Median $16,982.44 Typical High $16,982.44 | Professional | None | $15,848.93 | $16,982.44 | $16,982.44 |
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 $1,584.89 Median $2,754.23 Typical High $4,168.69 | Professional | None | $1,584.89 | $2,754.23 | $4,168.69 |
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 $1,023.29 Median $1,096.48 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,023.29 | $1,096.48 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $436.52 Typical High $676.08 | Professional | 53 · Discontinued | $407.38 | $436.52 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,621.81 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,548.82 | $1,621.81 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $323.59 Typical High $512.86 | Professional | 55 · Aftercare only | $309.03 | $323.59 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $218.78 Typical High $338.84 | Professional | 56 · Pre-op care only | $204.17 | $218.78 | $338.84 |
Where Tennessee sits
The same service costs 5.6 times more in Alaska than in South Carolina. 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· 46th of 51
$2,188
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.