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 $1,380.38 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,380.38 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $1,023.29 Typical High $1,778.28 | Professional | None | $269.15 | $1,023.29 | $1,778.28 |
Ambetter Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,737.80 | Professional | None | $524.81 | $831.76 | $1,737.80 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $5,128.61 | Facility | None | $1,000.00 | $1,995.26 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $323.59 Median $954.99 Typical High $2,238.72 | Professional | None | $323.59 | $954.99 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,041.74 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $870.96 Typical High $2,187.76 | Professional | None | $288.40 | $870.96 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $331.13 Median $977.24 Typical High $2,454.71 | Professional | None | $331.13 | $977.24 | $2,454.71 |
3 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 54 · Surgery only Typical Low $199.53 Median $371.54 Typical High $1,288.25 | Professional | 54 · Surgery only | $199.53 | $371.54 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $74.13 Typical High $257.04 | Professional | 55 · Aftercare only | $39.81 | $74.13 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $48.98 Typical High $173.78 | Professional | 56 · Pre-op care only | $26.92 | $48.98 | $173.78 |
Where Tennessee sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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· 8th of 51
$1,660
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.