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 $181.97 Median $194.98 Typical High $269.15 | Professional | None | $181.97 | $194.98 | $269.15 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,148.15 | Facility | None | $50.12 | $138.04 | $1,148.15 |
BCBS Tennessee Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $346.74 | Professional | None | $204.17 | $263.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,230.27 Typical High $2,691.53 | Facility | None | $562.34 | $1,230.27 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $331.13 | Professional | None | $181.97 | $239.88 | $331.13 |
Lucent Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
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 $165.96 Median $229.09 Typical High $407.38 | Professional | None | $165.96 | $229.09 | $407.38 |
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 $91.20 Median $93.33 Typical High $128.82 | Professional | 52 · Reduced service | $91.20 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $51.29 | Professional | 53 · Discontinued | $36.31 | $37.15 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $141.25 Typical High $194.98 | Professional | 54 · Surgery only | $138.04 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $28.18 Typical High $38.90 | Professional | 55 · Aftercare only | $27.54 | $28.18 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.62 Typical High $25.70 | Professional | 56 · Pre-op care only | $18.20 | $18.62 | $25.70 |
Where Tennessee sits
The same service costs 5.1 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· 28th of 51
$263
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.