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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $398.11 | Professional | None | $245.47 | $363.08 | $398.11 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,862.09 Median $3,981.07 Typical High $8,511.38 | Facility | None | $1,862.09 | $3,981.07 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,801.89 Typical High $7,943.28 | Facility | None | $588.84 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,290.87 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $10,232.93 | Facility | None | $1,778.28 | $6,025.60 | $10,232.93 |
United Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $758.58 | Professional | None | $309.03 | $416.87 | $758.58 |
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 $123.03 Median $181.97 Typical High $199.53 | Professional | 52 · Reduced service | $123.03 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $72.44 Typical High $79.43 | Professional | 53 · Discontinued | $48.98 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $275.42 Typical High $295.12 | Professional | 54 · Surgery only | $186.21 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $54.95 Typical High $58.88 | Professional | 55 · Aftercare only | $37.15 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $36.31 Typical High $39.81 | Professional | 56 · Pre-op care only | $24.55 | $36.31 | $39.81 |
Where Tennessee sits
The same service costs 4.5 times more in Alaska than in New York. 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· 2nd of 51
$1,148
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.