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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $83.18 | Professional | None | $50.12 | $53.70 | $83.18 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,905.46 | Facility | None | $407.38 | $812.83 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $109.65 | Professional | None | $50.12 | $64.57 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $1,659.59 | Facility | None | $275.42 | $407.38 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $89.13 | Professional | None | $53.70 | $54.95 | $89.13 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $109.65 | Professional | None | $44.67 | $60.26 | $109.65 |
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 $25.12 Median $26.92 Typical High $41.69 | Professional | 52 · Reduced service | $25.12 | $26.92 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $16.60 | Professional | 53 · Discontinued | $10.00 | $10.72 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $39.81 Typical High $63.10 | Professional | 54 · Surgery only | $38.02 | $39.81 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.94 Typical High $12.59 | Professional | 55 · Aftercare only | $7.59 | $7.94 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.37 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.01 | $5.37 | $8.32 |
Where Tennessee sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 30th of 51
$67.61
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.