How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $758.58 Median $758.58 Typical High $1,698.24 | Facility | None | $758.58 | $758.58 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,023.29 | Professional | None | $741.31 | $776.25 | $1,023.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $1,096.48 | Professional | None | $416.87 | $707.95 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,778.28 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,230.27 | Professional | None | $691.83 | $758.58 | $1,230.27 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $7,413.10 Typical High $7,413.10 | Professional | None | $5,370.32 | $7,413.10 | $7,413.10 |
United Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $977.24 | Professional | None | $416.87 | $549.54 | $977.24 |
4 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 $371.54 Median $389.05 Typical High $512.86 | Professional | 52 · Reduced service | $371.54 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $154.88 Typical High $204.17 | Professional | 53 · Discontinued | $147.91 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $114.82 Typical High $154.88 | Professional | 55 · Aftercare only | $109.65 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $77.62 Typical High $102.33 | Professional | 56 · Pre-op care only | $74.13 | $77.62 | $102.33 |
Where Tennessee sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 35th of 51
$776
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.