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 $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $177.83 | Professional | None | $97.72 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $19.50 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $112.20 Typical High $120.23 | Professional | 54 · Surgery only | $72.44 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $22.39 Typical High $23.99 | Professional | 55 · Aftercare only | $14.45 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $15.14 Typical High $16.22 | Professional | 56 · Pre-op care only | $9.77 | $15.14 | $16.22 |
BCBS Tennessee Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,122.02 | $1,584.89 |
Where Tennessee sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 18th of 51
$295
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.