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 $52.48 Median $52.48 Typical High $74.13 | Facility | None | $52.48 | $52.48 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $100.00 | Professional | None | $52.48 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $37.15 Typical High $47.86 | Professional | 52 · Reduced service | $26.30 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $11.22 Typical High $14.45 | Professional | 55 · Aftercare only | $7.76 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $7.41 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.25 | $7.41 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $177.83 | Professional | None | $81.28 | $95.50 | $177.83 |
BCBS Tennessee Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $134.90 | Professional | None | $66.07 | $89.13 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $114.82 | Professional | None | $63.10 | $83.18 | $114.82 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $123.03 | Professional | None | $58.88 | $81.28 | $123.03 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $81.28 Median $95.50 Typical High $128.82 | Professional | 25 · Same-day visit | $81.28 | $95.50 | $128.82 |
Where Tennessee sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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· 30th of 51
$85.11
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.