How much rates vary
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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $66.07 | Professional | None | $51.29 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $25.70 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.59 Typical High $13.49 | Professional | 53 · Discontinued | $10.23 | $12.59 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $9.55 Typical High $10.00 | Professional | 55 · Aftercare only | $7.76 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.31 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.13 | $6.31 | $6.61 |
BCBS Tennessee Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | None | $83.18 | $83.18 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $67.61 | Facility | None | $64.57 | $64.57 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $630.96 | Professional | None | $489.78 | $630.96 | $630.96 |
United Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $60.26 | Professional | None | $32.36 | $47.86 | $60.26 |
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $67.61 | Facility | RR · Rental | $64.57 | $64.57 | $67.61 |
Where Tennessee sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 22nd of 51
$66.07
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.