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 $57.54 Median $89.13 Typical High $128.82 | Professional | None | $57.54 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $64.57 Typical High $97.72 | Professional | 54 · Surgery only | $43.65 | $64.57 | $97.72 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,000.00 | Facility | None | $50.12 | $138.04 | $1,000.00 |
BCBS Tennessee Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $154.88 | Professional | None | $70.79 | $100.00 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $2,691.53 | Facility | None | $436.52 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $147.91 | Professional | None | $56.23 | $89.13 | $147.91 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $56.23 Median $93.33 Typical High $186.21 | Professional | None | $56.23 | $93.33 | $186.21 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $131.83 Typical High $131.83 | Professional | 50 · Both sides | $72.44 | $131.83 | $131.83 |
Where Tennessee sits
The same service costs 3.6 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· 26th of 51
$105
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.