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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | None | $112.20 | $112.20 | $162.18 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,000.00 | Facility | None | $50.12 | $138.04 | $1,000.00 |
BCBS Tennessee Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $288.40 | Professional | None | $125.89 | $165.96 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,148.15 Typical High $2,691.53 | Facility | None | $562.34 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $245.47 | Professional | None | $109.65 | $141.25 | $245.47 |
Lucent Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Professional | None | $891.25 | $891.25 | $1,047.13 |
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 $114.82 Median $165.96 Typical High $263.03 | Professional | None | $114.82 | $165.96 | $263.03 |
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 $56.23 Median $56.23 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $22.91 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $85.11 Typical High $123.03 | Professional | 54 · Surgery only | $83.18 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.98 Typical High $24.55 | Professional | 55 · Aftercare only | $16.60 | $16.98 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $16.22 |
Where Tennessee sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 20th of 51
$204
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.