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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $97.72 | Professional | None | $39.81 | $61.66 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $138.04 | Professional | None | $58.88 | $64.57 | $138.04 |
BCBS Tennessee Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,862.09 | Facility | None | $371.54 | $724.44 | $1,862.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $154.88 | Professional | None | $54.95 | $87.10 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $51.29 Typical High $162.18 | Facility | None | $39.81 | $51.29 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $128.82 | Professional | None | $42.66 | $67.61 | $128.82 |
Lucent Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $602.56 | Professional | None | $537.03 | $537.03 | $602.56 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,737.80 | Facility | None | $107.15 | $436.52 | $1,737.80 |
United Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $138.04 | Professional | None | $45.71 | $81.28 | $138.04 |
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 $19.95 Median $30.90 Typical High $43.65 | Professional | 52 · Reduced service | $19.95 | $30.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.30 Typical High $17.38 | Professional | 53 · Discontinued | $7.94 | $12.30 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $45.71 Typical High $64.57 | Professional | 54 · Surgery only | $29.51 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $9.12 Typical High $13.18 | Professional | 55 · Aftercare only | $5.89 | $9.12 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.17 Typical High $8.71 | Professional | 56 · Pre-op care only | $3.98 | $6.17 | $8.71 |
Where Tennessee sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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· 15th of 51
$93.33
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.