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 $0.45 Median $0.45 Typical High $0.45 | Facility | None | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier None Typical Low $0.45 Median $0.54 Typical High $0.78 | Professional | None | $0.45 | $0.54 | $0.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.27 Typical High $0.39 | Professional | 52 · Reduced service | $0.23 | $0.27 | $0.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.11 Typical High $0.15 | Professional | 53 · Discontinued | $0.09 | $0.11 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.08 Typical High $0.12 | Professional | 55 · Aftercare only | $0.07 | $0.08 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.08 |
BCBS Tennessee Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Cigna Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | None | $0.45 | $0.45 | $0.45 |
Lucent Health Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $6.76 | Professional | None | $4.47 | $4.47 | $6.76 |
United Setting Professional Modifier None Typical Low $0.25 Median $0.40 Typical High $0.44 | Professional | None | $0.25 | $0.40 | $0.44 |
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· 37th of 51
$0.45
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.