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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $114.82 | Professional | None | $83.18 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $43.65 Typical High $57.54 | Professional | 52 · Reduced service | $41.69 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $22.91 | Professional | 53 · Discontinued | $16.60 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.88 Typical High $17.38 | Professional | 55 · Aftercare only | $12.30 | $12.88 | $17.38 |
BCBS Tennessee Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $173.78 | Professional | None | $72.44 | $91.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $263.03 | Facility | None | $223.87 | $223.87 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | None | $83.18 | $83.18 | $144.54 |
Lucent Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $181.97 | Professional | None | $79.43 | $97.72 | $181.97 |
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 56 · Pre-op care only Typical Low $8.32 Median $8.71 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.32 | $8.71 | $11.48 |
Where Tennessee sits
The same service costs 3.1 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· 38th of 51
$93.33
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.