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 $74.13 Median $177.83 Typical High $269.15 | Professional | None | $74.13 | $177.83 | $269.15 |
BCBS Tennessee Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $2,570.40 | Facility | None | $524.81 | $1,122.02 | $2,570.40 |
BCBS Tennessee Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $288.40 | Professional | None | $81.28 | $177.83 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $2,691.53 | Facility | None | $158.49 | $316.23 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $169.82 Typical High $269.15 | Professional | None | $87.10 | $169.82 | $269.15 |
Lucent Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,698.24 | $1,698.24 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $302.00 | Professional | None | $79.43 | $169.82 | $302.00 |
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 $37.15 Median $83.18 Typical High $131.83 | Professional | 52 · Reduced service | $37.15 | $83.18 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $33.11 Typical High $53.70 | Professional | 53 · Discontinued | $14.79 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $123.03 Typical High $199.53 | Professional | 54 · Surgery only | $56.23 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $24.55 Typical High $39.81 | Professional | 55 · Aftercare only | $11.22 | $24.55 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $16.60 Typical High $26.92 | Professional | 56 · Pre-op care only | $7.41 | $16.60 | $26.92 |
Where Tennessee sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$191
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.