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 $245.47 Median $1,819.70 Typical High $6,606.93 | Facility | None | $245.47 | $1,819.70 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $338.84 | Professional | None | $112.20 | $239.88 | $338.84 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $245.47 | Professional | None | $95.50 | $138.04 | $245.47 |
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 $144.54 Median $269.15 Typical High $457.09 | Professional | None | $144.54 | $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 $1,778.28 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,778.28 | $2,089.30 | $2,089.30 |
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 $117.49 Median $245.47 Typical High $489.78 | Professional | None | $117.49 | $245.47 | $489.78 |
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 $162.18 | Professional | 52 · Reduced service | $56.23 | $107.15 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $42.66 Typical High $64.57 | Professional | 53 · Discontinued | $22.39 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $158.49 Typical High $245.47 | Professional | 54 · Surgery only | $83.18 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $31.62 Typical High $48.98 | Professional | 55 · Aftercare only | $16.60 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $21.38 Typical High $32.36 | Professional | 56 · Pre-op care only | $11.22 | $21.38 | $32.36 |
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· 18th 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.