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 $24.55 Median $36.31 Typical High $54.95 | Professional | None | $24.55 | $36.31 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $69.18 | Professional | None | $30.90 | $46.77 | $69.18 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,148.15 | Facility | None | $50.12 | $138.04 | $1,148.15 |
BCBS Tennessee Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $81.28 | Professional | None | $33.88 | $46.77 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,148.15 Typical High $2,691.53 | Facility | None | $380.19 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $69.18 | Professional | None | $26.92 | $38.90 | $69.18 |
Lucent Health Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | None | $457.09 | $512.86 | $512.86 |
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 Typical Low $28.84 Median $46.77 Typical High $75.86 | Professional | None | $28.84 | $46.77 | $75.86 |
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 $12.30 Median $16.60 Typical High $23.44 | Professional | 52 · Reduced service | $12.30 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.61 Typical High $9.33 | Professional | 53 · Discontinued | $5.01 | $6.61 | $9.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $25.12 Typical High $34.67 | Professional | 54 · Surgery only | $18.62 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $5.01 Typical High $6.92 | Professional | 55 · Aftercare only | $3.72 | $5.01 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.31 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.45 | $3.31 | $4.68 |
Where Tennessee sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 13th of 51
$56.23
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.