How much rates vary
Facilitymedian $603 · 10th to 90th $32 to $2,042Professionalmedian $178 · 10th to 90th $117 to $1,202
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 (both parts) Typical Low $120.23 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $120.23 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $158.49 | Professional | 26 · Professional part | $107.15 | $109.65 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $12.59 Typical High $18.62 | Professional | TC · Technical part | $12.30 | $12.59 | $18.62 |
BCBS Tennessee Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $1,862.09 | Facility | None | $398.11 | $741.31 | $1,862.09 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $128.82 | $173.78 | $288.40 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $158.49 Typical High $263.03 | Professional | 26 · Professional part | $114.82 | $158.49 | $263.03 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.85 Typical High $28.84 | Professional | TC · Technical part | $11.75 | $15.85 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $31.62 Typical High $173.78 | Facility | None | $15.85 | $31.62 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $114.82 | $144.54 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $223.87 | Professional | 26 · Professional part | $100.00 | $131.83 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.14 Typical High $23.44 | Professional | TC · Technical part | $11.48 | $15.14 | $23.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,047.13 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $794.33 Median $794.33 Typical High $912.01 | Professional | 26 · Professional part | $794.33 | $794.33 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $707.95 | $707.95 | $707.95 |
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 (both parts) Typical Low $117.49 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $117.49 | $173.78 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $158.49 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $15.85 Typical High $28.84 | Professional | TC · Technical part | $10.00 | $15.85 | $28.84 |
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 $60.26 Median $61.66 Typical High $89.13 | Professional | 52 · Reduced service | $60.26 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $35.48 | Professional | 53 · Discontinued | $23.99 | $24.55 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $91.20 Typical High $134.90 | Professional | 54 · Surgery only | $89.13 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $18.62 Typical High $26.92 | Professional | 55 · Aftercare only | $17.78 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.30 Typical High $17.78 | Professional | 56 · Pre-op care only | $12.02 | $12.30 | $17.78 |
Where Tennessee sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 7th of 51
$251
AK $490AL $105
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.