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 $114.82 Median $177.83 Typical High $208.93 | Professional | None | $114.82 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $57.54 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $35.48 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $134.90 Typical High $144.54 | Professional | 54 · Surgery only | $87.10 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $26.92 Typical High $28.84 | Professional | 55 · Aftercare only | $17.38 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $17.78 Typical High $19.05 | Professional | 56 · Pre-op care only | $11.48 | $17.78 | $19.05 |
BCBS Tennessee Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,348.96 | $1,905.46 |
Where Tennessee sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 21st of 51
$339
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.