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 $120.23 Median $144.54 Typical High $213.80 | Professional | None | $120.23 | $144.54 | $213.80 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $125.89 Typical High $208.93 | Facility | None | $50.12 | $125.89 | $208.93 |
BCBS Tennessee Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $234.42 | Professional | None | $128.82 | $169.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,659.59 Typical High $2,691.53 | Facility | None | $575.44 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $177.83 | Professional | None | $91.20 | $102.33 | $177.83 |
Lucent Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
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 $79.43 Median $123.03 Typical High $269.15 | Professional | None | $79.43 | $123.03 | $269.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $93.33 Typical High $134.90 | Professional | 54 · Surgery only | $89.13 | $93.33 | $134.90 |
Where Tennessee sits
The same service costs 4.8 times more in Indiana 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· 33rd of 51
$166
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.