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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $177.83 | Professional | None | $107.15 | $112.20 | $177.83 |
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 $102.33 Median $114.82 Typical High $208.93 | Professional | None | $102.33 | $114.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $2,691.53 | Facility | None | $275.42 | $549.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $173.78 | Professional | None | $102.33 | $114.82 | $173.78 |
Lucent Health Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $891.25 | Professional | None | $776.25 | $891.25 | $891.25 |
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 $91.20 Median $114.82 Typical High $223.87 | Professional | None | $91.20 | $114.82 | $223.87 |
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 $53.70 Median $56.23 Typical High $89.13 | Professional | 52 · Reduced service | $53.70 | $56.23 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $35.48 | Professional | 53 · Discontinued | $21.38 | $22.39 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $85.11 Typical High $134.90 | Professional | 54 · Surgery only | $79.43 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.98 Typical High $26.92 | Professional | 55 · Aftercare only | $16.22 | $16.98 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.22 Typical High $17.78 | Professional | 56 · Pre-op care only | $10.72 | $11.22 | $17.78 |
Where Tennessee sits
The same service costs 4.8 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· 22nd of 51
$151
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.