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 $602.56 Median $2,290.87 Typical High $7,585.78 | Facility | None | $602.56 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $346.74 | Professional | None | $112.20 | $239.88 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | None | $123.03 | $123.03 | $154.88 |
BCBS Tennessee Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $2,290.87 | Facility | None | $758.58 | $1,479.11 | $2,290.87 |
BCBS Tennessee Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $457.09 | Professional | None | $147.91 | $269.15 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $416.87 | Professional | None | $109.65 | $229.09 | $416.87 |
Lucent Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,089.30 | $2,630.27 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,884.03 | Facility | None | $776.25 | $1,479.11 | $2,884.03 |
United Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $501.19 | Professional | None | $120.23 | $245.47 | $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 $56.23 Median $107.15 Typical High $165.96 | Professional | 52 · Reduced service | $56.23 | $107.15 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $42.66 Typical High $66.07 | Professional | 53 · Discontinued | $22.91 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $162.18 Typical High $245.47 | Professional | 54 · Surgery only | $85.11 | $162.18 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $32.36 Typical High $48.98 | Professional | 55 · Aftercare only | $16.98 | $32.36 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $21.38 Typical High $33.11 | Professional | 56 · Pre-op care only | $11.22 | $21.38 | $33.11 |
Where Tennessee sits
The same service costs 3.4 times more in Alaska than in Virginia. 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
$275
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.