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 $41.69 Median $79.43 Typical High $123.03 | Professional | None | $41.69 | $79.43 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | None | $72.44 | $72.44 | $102.33 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,905.46 | Facility | None | $407.38 | $812.83 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier None Typical Low $53.70 Median $104.71 Typical High $199.53 | Professional | None | $53.70 | $104.71 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $144.54 Typical High $1,659.59 | Facility | None | $72.44 | $144.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $87.10 Typical High $162.18 | Professional | None | $42.66 | $87.10 | $162.18 |
Lucent Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None | $676.08 | $676.08 | $794.33 |
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 $46.77 Median $95.50 Typical High $190.55 | Professional | None | $46.77 | $95.50 | $190.55 |
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 $19.05 Median $33.11 Typical High $60.26 | Professional | 52 · Reduced service | $19.05 | $33.11 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $13.49 Typical High $23.99 | Professional | 53 · Discontinued | $7.59 | $13.49 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $50.12 Typical High $89.13 | Professional | 54 · Surgery only | $28.18 | $50.12 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $10.00 Typical High $18.20 | Professional | 55 · Aftercare only | $5.75 | $10.00 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $6.61 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.80 | $6.61 | $12.02 |
Where Tennessee sits
The same service costs 3.3 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· 10th of 51
$123
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.