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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $426.58 | Professional | None | $251.19 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $151.36 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $60.26 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $45.71 Typical High $64.57 | Professional | 55 · Aftercare only | $38.02 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $30.20 Typical High $42.66 | Professional | 56 · Pre-op care only | $25.12 | $30.20 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,548.13 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $316.23 | Professional | None | $190.55 | $251.19 | $316.23 |
Where Tennessee sits
The same service costs 17.0 times more in Iowa than in Kentucky. 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· 17th of 51
$372
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.