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 $2,630.27 Median $3,981.07 Typical High $7,585.78 | Facility | None | $2,630.27 | $3,981.07 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,073.80 Typical High $5,888.44 | Professional | None | $3,981.07 | $4,073.80 | $5,888.44 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $5,248.07 | Facility | None | $1,202.26 | $2,290.87 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,041.74 Typical High $3,715.35 | Facility | None | $588.84 | $2,041.74 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,168.69 Typical High $7,585.78 | Professional | None | $3,019.95 | $4,168.69 | $7,585.78 |
Lucent Health Setting Professional Modifier None Typical Low $30,902.95 Median $30,902.95 Typical High $35,481.34 | Professional | None | $30,902.95 | $30,902.95 | $35,481.34 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $8,511.38 | Professional | None | $3,715.35 | $5,370.32 | $8,511.38 |
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 $1,995.26 Median $2,041.74 Typical High $2,951.21 | Professional | 52 · Reduced service | $1,995.26 | $2,041.74 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $812.83 Typical High $1,174.90 | Professional | 53 · Discontinued | $794.33 | $812.83 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,019.95 Typical High $4,466.84 | Professional | 54 · Surgery only | $2,951.21 | $3,019.95 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $616.60 Typical High $891.25 | Professional | 55 · Aftercare only | $588.84 | $616.60 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $407.38 Typical High $588.84 | Professional | 56 · Pre-op care only | $398.11 | $407.38 | $588.84 |
Where Tennessee sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 40th of 51
$3,802
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.