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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $169.82 | Professional | None | $104.71 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $123.03 Typical High $125.89 | Professional | 54 · Surgery only | $79.43 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $24.55 Typical High $25.12 | Professional | 55 · Aftercare only | $15.85 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $16.22 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.47 | $16.22 | $16.98 |
BCBS Tennessee Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,348.96 | $2,041.74 | $2,041.74 |
Where Tennessee sits
The same service costs 17.8 times more in Texas than in New Jersey. 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
$178
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.