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 $512.86 Median $575.44 Typical High $1,023.29 | Professional | None | $512.86 | $575.44 | $1,023.29 |
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 $562.34 Median $758.58 Typical High $1,288.25 | Professional | None | $562.34 | $758.58 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $1,659.59 | Facility | None | $338.84 | $436.52 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,071.52 | Professional | None | $489.78 | $616.60 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,801.89 | $3,981.07 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $2,511.89 | Facility | None | $346.74 | $1,047.13 | $2,511.89 |
United Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,202.26 | Professional | None | $501.19 | $741.31 | $1,202.26 |
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 $257.04 Median $288.40 Typical High $354.81 | Professional | 52 · Reduced service | $257.04 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $114.82 Typical High $141.25 | Professional | 53 · Discontinued | $102.33 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $436.52 Typical High $524.81 | Professional | 54 · Surgery only | $380.19 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $87.10 Typical High $107.15 | Professional | 55 · Aftercare only | $75.86 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $57.54 Typical High $70.79 | Professional | 56 · Pre-op care only | $51.29 | $57.54 | $70.79 |
Where Tennessee sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 18th of 51
$776
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.