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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $134.90 | Professional | None | $83.18 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $97.72 Typical High $100.00 | Professional | 54 · Surgery only | $63.10 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.50 Typical High $19.95 | Professional | 55 · Aftercare only | $12.59 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.88 Typical High $13.49 | Professional | 56 · Pre-op care only | $8.32 | $12.88 | $13.49 |
BCBS Tennessee Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Lucent Health Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,174.90 | Professional | None | $891.25 | $1,174.90 | $1,174.90 |
Where Tennessee sits
The same service costs 16.2 times more in Minnesota 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· 29th of 51
$162
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.