How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $2 · 10th to 90th $1 to $13
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 $1.32 Median $1.32 Typical High $1.32 | Facility | None | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $1.55 Typical High $2.24 | Professional | None | $1.32 | $1.55 | $2.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.66 Median $0.78 Typical High $1.12 | Professional | 52 · Reduced service | $0.66 | $0.78 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.31 Typical High $0.44 | Professional | 53 · Discontinued | $0.26 | $0.31 | $0.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.23 Typical High $0.33 | Professional | 55 · Aftercare only | $0.20 | $0.23 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.16 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.13 | $0.16 | $0.22 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1.51 Median $1.95 Typical High $1.95 | Professional | None | $1.51 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $1.78 | Facility | None | $1.70 | $1.70 | $1.78 |
Cigna Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.70 | Professional | None | $1.45 | $1.45 | $1.70 |
Lucent Health Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $19.50 | Professional | None | $12.88 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $0.72 Median $1.17 Typical High $1.45 | Professional | None | $0.72 | $1.17 | $1.45 |
Where Tennessee sits
The same service costs 2.3 times more in Kansas than in Connecticut. 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· 32nd of 51
$1.51
KS $2.95CT $1.26
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.