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 $446.68 Median $457.09 Typical High $676.08 | Professional | None | $446.68 | $457.09 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,570.40 Typical High $6,309.57 | Facility | None | $1,071.52 | $2,570.40 | $6,309.57 |
BCBS Tennessee Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,047.13 | Professional | None | $478.63 | $660.69 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,818.38 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,818.38 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $1,023.29 | Professional | None | $426.58 | $537.03 | $1,023.29 |
Lucent Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $1,071.52 | Professional | None | $426.58 | $616.60 | $1,071.52 |
1 more rate 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 54 · Surgery only Typical Low $338.84 Median $346.74 Typical High $501.19 | Professional | 54 · Surgery only | $338.84 | $346.74 | $501.19 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska than in New York. 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
$1,023
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.