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 $1,819.70 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,819.70 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $57.54 | Professional | None | $28.18 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $95.50 | Professional | None | $58.88 | $63.10 | $95.50 |
BCBS Tennessee Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $102.33 | Professional | None | $33.11 | $51.29 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $2,691.53 | Facility | None | $562.34 | $1,513.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $436.52 | Professional | None | $323.59 | $323.59 | $436.52 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $95.50 | Professional | None | $32.36 | $52.48 | $95.50 |
5 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 52 · Reduced service Typical Low $10.72 Median $16.98 Typical High $25.70 | Professional | 52 · Reduced service | $10.72 | $16.98 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.76 Typical High $10.23 | Professional | 53 · Discontinued | $4.27 | $6.76 | $10.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.22 Median $25.70 Typical High $38.90 | Professional | 54 · Surgery only | $16.22 | $25.70 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $5.13 Typical High $7.76 | Professional | 55 · Aftercare only | $3.24 | $5.13 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $3.39 Typical High $5.13 | Professional | 56 · Pre-op care only | $2.14 | $3.39 | $5.13 |
Where Tennessee sits
The same service costs 2.8 times more in Alaska than in California. 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
$54.95
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.