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 $1,479.11 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,479.11 | $2,454.71 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $794.33 | Professional | None | $549.54 | $575.44 | $794.33 |
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 $616.60 Median $758.58 Typical High $1,047.13 | Professional | None | $616.60 | $758.58 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,148.15 Typical High $2,691.53 | Facility | None | $512.86 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,000.00 | Professional | None | $537.03 | $724.44 | $1,000.00 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,466.84 | Professional | None | $4,168.69 | $4,168.69 | $4,466.84 |
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 $489.78 Median $676.08 Typical High $1,230.27 | Professional | None | $489.78 | $676.08 | $1,230.27 |
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 $275.42 Median $281.84 Typical High $389.05 | Professional | 52 · Reduced service | $275.42 | $281.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $112.20 Typical High $154.88 | Professional | 53 · Discontinued | $109.65 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $416.87 Typical High $575.44 | Professional | 54 · Surgery only | $407.38 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $56.23 Typical High $77.62 | Professional | 56 · Pre-op care only | $54.95 | $56.23 | $77.62 |
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· 32nd of 51
$741
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.