How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $524.81 Median $1,819.70 Typical High $4,073.80 | Facility | Global | $524.81 | $1,819.70 | $4,073.80 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | 50 · Both sides | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $302.00 Typical High $691.83 | Facility | 54 · Surgery only | $234.42 | $302.00 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $60.26 Typical High $138.04 | Facility | 55 · Aftercare only | $46.77 | $60.26 | $138.04 |
Aetna Setting Professional Modifier Global Typical Low $288.40 Median $416.87 Typical High $630.96 | Professional | Global | $288.40 | $416.87 | $630.96 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $416.87 Typical High $416.87 | Professional | 50 · Both sides | $302.00 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $288.40 Typical High $380.19 | Professional | 54 · Surgery only | $218.78 | $288.40 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $58.88 Typical High $75.86 | Professional | 55 · Aftercare only | $43.65 | $58.88 | $75.86 |
Ambetter Setting Professional Modifier Global Typical Low $257.04 Median $288.40 Typical High $363.08 | Professional | Global | $257.04 | $288.40 | $363.08 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 50 · Both sides | $537.03 | $537.03 | $537.03 |
Ambetter Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
BCBS Setting Facility Modifier Global Typical Low $724.44 Median $1,513.56 Typical High $2,187.76 | Facility | Global | $724.44 | $1,513.56 | $2,187.76 |
BCBS Setting Professional Modifier Global Typical Low $302.00 Median $436.52 Typical High $741.31 | Professional | Global | $302.00 | $436.52 | $741.31 |
Cigna Setting Professional Modifier Global Typical Low $275.42 Median $380.19 Typical High $588.84 | Professional | Global | $275.42 | $380.19 | $588.84 |
Lucent Health Setting Facility Modifier Global Typical Low $1,995.26 Median $1,995.26 Typical High $28,840.32 | Facility | Global | $1,995.26 | $1,995.26 | $28,840.32 |
Lucent Health Setting Facility Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier Global Typical Low $2,398.83 Median $2,754.23 Typical High $2,754.23 | Professional | Global | $2,398.83 | $2,754.23 | $2,754.23 |
United Setting Facility Modifier Global Typical Low $691.83 Median $1,348.96 Typical High $2,630.27 | Facility | Global | $691.83 | $1,348.96 | $2,630.27 |
United Setting Professional Modifier Global Typical Low $269.15 Median $338.84 Typical High $616.60 | Professional | Global | $269.15 | $338.84 | $616.60 |
Where Tennessee sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 14th of 51
$427
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.