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 $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $158.49 | Professional | None | $91.20 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $58.88 Typical High $79.43 | Professional | 52 · Reduced service | $45.71 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.44 Typical High $31.62 | Professional | 53 · Discontinued | $18.20 | $23.44 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $17.78 Typical High $23.99 | Professional | 55 · Aftercare only | $13.49 | $17.78 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.75 Typical High $15.85 | Professional | 56 · Pre-op care only | $9.12 | $11.75 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
BCBS Tennessee Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $147.91 | Professional | None | $75.86 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $114.82 | Professional | None | $75.86 | $100.00 | $114.82 |
Lucent Health Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,000.00 | Professional | None | $794.33 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $131.83 | Professional | None | $75.86 | $100.00 | $131.83 |
Where Tennessee sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 45th of 51
$100
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.