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 $1,071.52 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $41.69 | Professional | None | $23.44 | $30.20 | $41.69 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,949.84 | Facility | None | $407.38 | $812.83 | $1,949.84 |
BCBS Tennessee Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $58.88 | Professional | None | $28.84 | $40.74 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $36.31 Typical High $2,187.76 | Facility | None | $18.20 | $36.31 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $56.23 | Professional | None | $22.91 | $32.36 | $56.23 |
Lucent Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $22.91 Median $34.67 Typical High $64.57 | Professional | None | $22.91 | $34.67 | $64.57 |
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 $11.75 Median $15.14 Typical High $20.89 | Professional | 52 · Reduced service | $11.75 | $15.14 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.03 Typical High $8.32 | Professional | 53 · Discontinued | $4.68 | $6.03 | $8.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $22.39 Typical High $30.90 | Professional | 54 · Surgery only | $17.38 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $4.47 Typical High $6.17 | Professional | 55 · Aftercare only | $3.47 | $4.47 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $3.02 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.34 | $3.02 | $4.17 |
Where Tennessee sits
The same service costs 3.5 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· 22nd of 51
$41.69
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.