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 $363.08 Median $1,737.80 Typical High $2,398.83 | Professional | None | $363.08 | $1,737.80 | $2,398.83 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $426.58 Median $1,348.96 Typical High $3,715.35 | Professional | None | $426.58 | $1,348.96 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $6,760.83 | Facility | None | $588.84 | $2,137.96 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $1,202.26 Typical High $2,818.38 | Professional | None | $354.81 | $1,202.26 | $2,818.38 |
Lucent Health Setting Professional Modifier None Typical Low $17,782.79 Median $29,512.09 Typical High $29,512.09 | Professional | None | $17,782.79 | $29,512.09 | $29,512.09 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,348.96 Typical High $3,388.44 | Professional | None | $363.08 | $1,348.96 | $3,388.44 |
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 $181.97 Median $371.54 Typical High $1,202.26 | Professional | 52 · Reduced service | $181.97 | $371.54 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $151.36 Typical High $478.63 | Professional | 53 · Discontinued | $72.44 | $151.36 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $562.34 Typical High $1,778.28 | Professional | 54 · Surgery only | $275.42 | $562.34 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $112.20 Typical High $354.81 | Professional | 55 · Aftercare only | $54.95 | $112.20 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $74.13 Typical High $239.88 | Professional | 56 · Pre-op care only | $36.31 | $74.13 | $239.88 |
Where Tennessee sits
The same service costs 3.6 times more in Iowa than in Nebraska. 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
$1,820
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.