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 $812.83 Median $2,454.71 Typical High $6,606.93 | Facility | None | $812.83 | $2,454.71 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $2,454.71 Typical High $3,715.35 | Professional | None | $213.80 | $2,454.71 | $3,715.35 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,122.02 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,122.02 | $3,090.30 | $8,317.64 |
BCBS Tennessee Setting Professional Modifier None Typical Low $269.15 Median $851.14 Typical High $6,165.95 | Professional | None | $269.15 | $851.14 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $5,128.61 Typical High $9,332.54 | Facility | None | $588.84 | $5,128.61 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $1,995.26 Typical High $5,011.87 | Professional | None | $223.87 | $1,995.26 | $5,011.87 |
Lucent Health Setting Professional Modifier None Typical Low $19,054.61 Median $22,908.68 Typical High $22,908.68 | Professional | None | $19,054.61 | $22,908.68 | $22,908.68 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,786.30 Typical High $8,912.51 | Facility | None | $1,548.82 | $4,786.30 | $8,912.51 |
United Setting Professional Modifier None Typical Low $239.88 Median $2,570.40 Typical High $6,165.95 | Professional | None | $239.88 | $2,570.40 | $6,165.95 |
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 $97.72 Median $173.78 Typical High $1,862.09 | Professional | 52 · Reduced service | $97.72 | $173.78 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $69.18 Typical High $741.31 | Professional | 53 · Discontinued | $38.90 | $69.18 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $263.03 Typical High $2,818.38 | Professional | 54 · Surgery only | $147.91 | $263.03 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $52.48 Typical High $562.34 | Professional | 55 · Aftercare only | $29.51 | $52.48 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $34.67 Typical High $371.54 | Professional | 56 · Pre-op care only | $19.50 | $34.67 | $371.54 |
Where Tennessee sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 21st of 51
$2,884
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.