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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $15.49 | Professional | None | $10.72 | $11.22 | $15.49 |
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 $12.88 Median $17.78 Typical High $29.51 | Professional | None | $12.88 | $17.78 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $954.99 Typical High $1,659.59 | Facility | None | $380.19 | $954.99 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $30.20 | Professional | None | $12.88 | $15.49 | $30.20 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $11.48 Median $17.78 Typical High $27.54 | Professional | None | $11.48 | $17.78 | $27.54 |
4 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 $5.25 Median $5.62 Typical High $7.76 | Professional | 52 · Reduced service | $5.25 | $5.62 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.24 Typical High $3.09 | Professional | 53 · Discontinued | $2.14 | $2.24 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.70 Typical High $2.29 | Professional | 55 · Aftercare only | $1.58 | $1.70 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.12 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.07 | $1.12 | $1.55 |
Where Tennessee sits
The same service costs 12.3 times more in Florida than in Kentucky. 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· 2nd of 51
$91.20
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.