How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $10
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 $1.00 Median $1.00 Typical High $1.00 | Facility | None | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.20 Typical High $1.70 | Professional | None | $1.00 | $1.20 | $1.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.50 Median $0.60 Typical High $0.85 | Professional | 52 · Reduced service | $0.50 | $0.60 | $0.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.24 Typical High $0.34 | Professional | 53 · Discontinued | $0.20 | $0.24 | $0.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.18 Typical High $0.26 | Professional | 55 · Aftercare only | $0.15 | $0.18 | $0.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.17 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Lucent Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $14.79 | Professional | None | $10.00 | $10.00 | $14.79 |
United Setting Professional Modifier None Typical Low $0.55 Median $0.91 Typical High $0.98 | Professional | None | $0.55 | $0.91 | $0.98 |
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· 42nd of 51
$1.00
HI $2.14UT $0.83
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.