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 $181.97 Median $245.47 Typical High $323.59 | Professional | None | $181.97 | $245.47 | $323.59 |
BCBS Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,905.46 | Facility | None | $407.38 | $812.83 | $1,905.46 |
BCBS Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $562.34 | Professional | None | $239.88 | $323.59 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $371.54 Typical High $1,659.59 | Facility | None | $190.55 | $371.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $489.78 | Professional | None | $194.98 | $275.42 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
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 $208.93 Median $323.59 Typical High $501.19 | Professional | None | $208.93 | $323.59 | $501.19 |
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 $89.13 Median $120.23 Typical High $154.88 | Professional | 52 · Reduced service | $89.13 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $36.31 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $181.97 Typical High $234.42 | Professional | 54 · Surgery only | $134.90 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $36.31 Typical High $46.77 | Professional | 55 · Aftercare only | $26.92 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $23.99 Typical High $30.90 | Professional | 56 · Pre-op care only | $18.20 | $23.99 | $30.90 |
Where Tennessee sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 16th of 51
$347
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.