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 $57.54 Median $131.83 Typical High $229.09 | Professional | None | $57.54 | $131.83 | $229.09 |
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 $61.66 Median $131.83 Typical High $218.78 | Professional | None | $61.66 | $131.83 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $2,691.53 | Facility | None | $165.96 | $323.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $131.83 Typical High $213.80 | Professional | None | $69.18 | $131.83 | $213.80 |
Lucent Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
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 $61.66 Median $134.90 Typical High $234.42 | Professional | None | $61.66 | $134.90 | $234.42 |
6 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 $28.84 Median $60.26 Typical High $114.82 | Professional | 52 · Reduced service | $28.84 | $60.26 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $24.55 Typical High $45.71 | Professional | 53 · Discontinued | $11.48 | $24.55 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $91.20 Typical High $169.82 | Professional | 54 · Surgery only | $42.66 | $91.20 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $18.20 Typical High $34.67 | Professional | 55 · Aftercare only | $8.51 | $18.20 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $12.30 Typical High $22.91 | Professional | 56 · Pre-op care only | $5.75 | $12.30 | $22.91 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 58 · Staged procedure | $245.47 | $245.47 | $245.47 |
Where Tennessee sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 23rd 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.