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 $338.84 Median $363.08 Typical High $489.78 | Professional | None | $338.84 | $363.08 | $489.78 |
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 $380.19 Median $512.86 Typical High $660.69 | Professional | None | $380.19 | $512.86 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,148.15 Typical High $2,691.53 | Facility | None | $380.19 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $616.60 | Professional | None | $331.13 | $436.52 | $616.60 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,691.53 | Professional | None | $2,570.40 | $2,570.40 | $2,691.53 |
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 $295.12 Median $426.58 Typical High $741.31 | Professional | None | $295.12 | $426.58 | $741.31 |
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 $169.82 Median $169.82 Typical High $234.42 | Professional | 52 · Reduced service | $169.82 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $93.33 | Professional | 53 · Discontinued | $67.61 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $257.04 Typical High $354.81 | Professional | 54 · Surgery only | $251.19 | $257.04 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $51.29 Typical High $70.79 | Professional | 55 · Aftercare only | $50.12 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $46.77 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $46.77 |
Where Tennessee sits
The same service costs 4.9 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· 24th of 51
$490
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.