How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $2 · 10th to 90th $2 to $20
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 $2.00 Median $2.00 Typical High $2.00 | Facility | None | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.40 Typical High $3.39 | Professional | None | $2.00 | $2.40 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.00 Median $1.20 Typical High $1.70 | Professional | 52 · Reduced service | $1.00 | $1.20 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.48 Typical High $0.68 | Professional | 53 · Discontinued | $0.40 | $0.48 | $0.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.36 Typical High $0.51 | Professional | 55 · Aftercare only | $0.30 | $0.36 | $0.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.24 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.20 | $0.24 | $0.34 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2.29 Median $3.02 Typical High $3.02 | Professional | None | $2.29 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.51 | Facility | None | $2.34 | $2.34 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.34 | Professional | None | $2.00 | $2.00 | $2.34 |
Lucent Health Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $29.51 | Professional | None | $19.95 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.82 Typical High $2.24 | Professional | None | $1.12 | $1.82 | $2.24 |
Where Tennessee sits
The same service costs 2.2 times more in Kansas than in Delaware. 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· 36th of 51
$2.29
KS $4.47DE $2.00
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.