How much rates vary
Facilitymedian $6 · 10th to 90th $6 to $7Professionalmedian $5 · 10th to 90th $4 to $63
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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $7.24 | Professional | None | $4.27 | $5.13 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.51 Typical High $3.63 | Professional | 52 · Reduced service | $2.14 | $2.51 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $1.00 Typical High $1.45 | Professional | 53 · Discontinued | $0.85 | $1.00 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.65 Median $0.76 Typical High $1.07 | Professional | 55 · Aftercare only | $0.65 | $0.76 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.43 Median $0.51 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.43 | $0.51 | $0.72 |
BCBS Tennessee Setting Professional Modifier None Typical Low $4.90 Median $6.31 Typical High $6.31 | Professional | None | $4.90 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $7.08 | Facility | None | $5.75 | $5.75 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.75 | Professional | None | $4.90 | $4.90 | $5.75 |
Lucent Health Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | None | $63.10 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $4.90 | Professional | None | $2.75 | $3.89 | $4.90 |
Where Tennessee sits
The same service costs 2.5 times more in Montana than in New Hampshire. 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· 39th of 51
$5.13
MT $10.23NH $4.07
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.