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 $1.26 Median $1.26 Typical High $1.26 | Facility | None | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $1.51 Typical High $2.14 | Professional | None | $1.26 | $1.51 | $2.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.63 Median $0.76 Typical High $1.07 | Professional | 52 · Reduced service | $0.63 | $0.76 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.30 Typical High $0.43 | Professional | 53 · Discontinued | $0.25 | $0.30 | $0.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.23 Typical High $0.32 | Professional | 55 · Aftercare only | $0.19 | $0.23 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.15 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.13 | $0.15 | $0.21 |
Ambetter Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.51 | Professional | None | $1.74 | $1.74 | $2.51 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Lucent Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $18.62 | Professional | None | $12.59 | $12.59 | $18.62 |
United Setting Professional Modifier None Typical Low $0.69 Median $1.12 Typical High $1.23 | Professional | None | $0.69 | $1.12 | $1.23 |
Where Tennessee sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 41st of 51
$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.