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 $87.10 Median $177.83 Typical High $724.44 | Professional | None | $87.10 | $177.83 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $89.13 Typical High $354.81 | Professional | 52 · Reduced service | $43.65 | $89.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $35.48 Typical High $141.25 | Professional | 53 · Discontinued | $17.38 | $35.48 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $131.83 Typical High $537.03 | Professional | 54 · Surgery only | $64.57 | $131.83 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $26.30 Typical High $107.15 | Professional | 55 · Aftercare only | $12.88 | $26.30 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $17.78 Typical High $70.79 | Professional | 56 · Pre-op care only | $8.71 | $17.78 | $70.79 |
BCBS Tennessee Setting Professional Modifier None Typical Low $100.00 Median $234.42 Typical High $812.83 | Professional | None | $100.00 | $234.42 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $251.19 | Facility | None | $218.78 | $218.78 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $229.09 Typical High $831.76 | Professional | None | $85.11 | $229.09 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $6,165.95 | Professional | None | $4,677.35 | $4,677.35 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $2,630.27 Typical High $4,677.35 | Facility | None | $1,412.54 | $2,630.27 | $4,677.35 |
United Setting Professional Modifier None Typical Low $89.13 Median $204.17 Typical High $831.76 | Professional | None | $89.13 | $204.17 | $831.76 |
Where Tennessee sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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
$316
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.