How much rates vary
Facilitymedian $676 · 10th to 90th $282 to $2,512Professionalmedian $126 · 10th to 90th $91 to $1,023
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $89.13 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $61.66 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $45.71 | Professional | TC · Technical part | $31.62 | $33.11 | $45.71 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $95.50 | $125.89 | $208.93 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $81.28 | $117.49 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $33.11 | $43.65 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $281.84 Typical High $407.38 | Facility | None | $93.33 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $75.86 | $93.33 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $61.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $33.11 | $56.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $660.69 | $660.69 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $426.58 | $660.69 | $660.69 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $229.09 | $371.54 | $371.54 |
United Setting Facility Modifier None Typical Low $302.00 Median $741.31 Typical High $2,570.40 | Facility | None | $302.00 | $741.31 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $72.44 | $97.72 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $30.90 | $39.81 | $75.86 |
2 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 55 · Aftercare only Typical Low $13.49 Median $14.13 Typical High $19.50 | Professional | 55 · Aftercare only | $13.49 | $14.13 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.33 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.91 | $9.33 | $13.18 |
Where Tennessee sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 20th of 51
$132
MN $275AL $63.10
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.