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 $407.38 Median $446.68 Typical High $630.96 | Professional | None | $407.38 | $446.68 | $630.96 |
BCBS Tennessee 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 Tennessee Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,096.48 | Professional | None | $524.81 | $691.83 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $407.38 Typical High $1,659.59 | Facility | None | $251.19 | $407.38 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $933.25 | Professional | None | $467.74 | $588.84 | $933.25 |
Lucent Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,073.80 | Professional | None | $3,630.78 | $3,630.78 | $4,073.80 |
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 $478.63 Median $691.83 Typical High $1,071.52 | Professional | None | $478.63 | $691.83 | $1,071.52 |
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 $204.17 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $204.17 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $81.28 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $338.84 Typical High $346.74 | Professional | 54 · Surgery only | $302.00 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $67.61 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $44.67 Typical High $46.77 | Professional | 56 · Pre-op care only | $40.74 | $44.67 | $46.77 |
Where Tennessee sits
The same service costs 3.5 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· 19th of 51
$661
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.