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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $85.11 | Professional | None | $53.70 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $26.92 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.49 Typical High $16.98 | Professional | 53 · Discontinued | $10.72 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.48 Typical High $12.88 | Professional | 55 · Aftercare only | $8.13 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.37 | $7.76 | $8.51 |
BCBS Tennessee Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $177.83 | Professional | None | $77.62 | $100.00 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $478.63 | Facility | None | $309.03 | $309.03 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Lucent Health Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $851.14 | Professional | None | $524.81 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $173.78 | Professional | None | $79.43 | $95.50 | $173.78 |
Where Tennessee sits
The same service costs 5.0 times more in Alaska than in Pennsylvania. 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· 18th of 51
$107
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.