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 $1.35 Median $1.35 Typical High $1.35 | Facility | None | $1.35 | $1.35 | $1.35 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.62 Typical High $2.29 | Professional | None | $1.35 | $1.62 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.68 Median $0.81 Typical High $1.15 | Professional | 52 · Reduced service | $0.68 | $0.81 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.27 Median $0.32 Typical High $0.46 | Professional | 53 · Discontinued | $0.27 | $0.32 | $0.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.24 Typical High $0.34 | Professional | 55 · Aftercare only | $0.20 | $0.24 | $0.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.16 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.14 | $0.16 | $0.23 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Lucent Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $19.95 | Professional | None | $13.18 | $13.18 | $19.95 |
United Setting Professional Modifier None Typical Low $0.74 Median $1.23 Typical High $1.32 | Professional | None | $0.74 | $1.23 | $1.32 |
Where Tennessee sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 34th of 51
$1.35
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.