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 $54.95 Median $54.95 Typical High $95.50 | Facility | None | $54.95 | $54.95 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $93.33 Typical High $112.20 | Professional | None | $54.95 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $27.54 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $18.20 Typical High $22.39 | Professional | 53 · Discontinued | $10.96 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $13.49 Typical High $16.98 | Professional | 55 · Aftercare only | $8.32 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $8.91 Typical High $11.22 | Professional | 56 · Pre-op care only | $5.50 | $8.91 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
BCBS Tennessee Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $102.33 | Professional | None | $43.65 | $69.18 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $91.20 | Professional | None | $45.71 | $79.43 | $91.20 |
Lucent Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | None | $741.31 | $741.31 | $851.14 |
United Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $97.72 | Professional | None | $37.15 | $60.26 | $97.72 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Tennessee sits
The same service costs 3.0 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· 32nd of 51
$75.86
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.