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 $562.34 Median $602.56 Typical High $812.83 | Professional | None | $562.34 | $602.56 | $812.83 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,412.54 | Facility | None | $50.12 | $138.04 | $1,412.54 |
BCBS Tennessee Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $549.54 | Professional | None | $323.59 | $407.38 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $6,760.83 | Facility | None | $630.96 | $2,137.96 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,000.00 | Professional | None | $549.54 | $724.44 | $1,000.00 |
Lucent Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,011.87 | Professional | None | $4,365.16 | $4,365.16 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,981.07 Typical High $7,943.28 | Facility | None | $1,202.26 | $3,981.07 | $7,943.28 |
United Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $616.60 | Professional | None | $245.47 | $346.74 | $616.60 |
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 $281.84 Median $288.40 Typical High $389.05 | Professional | 52 · Reduced service | $281.84 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $158.49 | Professional | 53 · Discontinued | $112.20 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $426.58 Typical High $588.84 | Professional | 54 · Surgery only | $416.87 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $85.11 Typical High $117.49 | Professional | 55 · Aftercare only | $83.18 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $57.54 Typical High $79.43 | Professional | 56 · Pre-op care only | $56.23 | $57.54 | $79.43 |
Where Tennessee sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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· 38th of 51
$575
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.