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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $162.18 | Professional | None | $95.50 | $109.65 | $162.18 |
BCBS Tennessee Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,862.09 | Facility | None | $371.54 | $724.44 | $1,862.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $181.97 | Professional | None | $104.71 | $128.82 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $1,659.59 | Facility | None | $50.12 | $66.07 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $181.97 | Professional | None | $83.18 | $95.50 | $181.97 |
Lucent Health Setting Professional Modifier None Typical Low $1,122.02 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,122.02 | $2,290.87 | $2,290.87 |
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 $95.50 Median $123.03 Typical High $208.93 | Professional | None | $95.50 | $123.03 | $208.93 |
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 $47.86 Median $53.70 Typical High $81.28 | Professional | 52 · Reduced service | $47.86 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $32.36 | Professional | 53 · Discontinued | $19.05 | $21.88 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $81.28 Typical High $123.03 | Professional | 54 · Surgery only | $70.79 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $16.22 Typical High $24.55 | Professional | 55 · Aftercare only | $14.13 | $16.22 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.72 Typical High $16.22 | Professional | 56 · Pre-op care only | $9.55 | $10.72 | $16.22 |
Where Tennessee sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 25th of 51
$145
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.