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 $36.31 Median $41.69 Typical High $41.69 | Facility | None | $36.31 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $43.65 | Professional | None | $28.18 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $19.05 Typical High $21.88 | Professional | 52 · Reduced service | $14.13 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.76 Typical High $8.91 | Professional | 53 · Discontinued | $5.62 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $5.75 Typical High $6.61 | Professional | 55 · Aftercare only | $4.17 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $3.89 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.82 | $3.89 | $4.37 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $31.62 | Professional | None | $22.39 | $25.12 | $31.62 |
BCBS Tennessee Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $51.29 | Professional | None | $24.55 | $28.18 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Lucent Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
United Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $50.12 | Professional | None | $23.44 | $28.84 | $50.12 |
Where Tennessee sits
The same service costs 3.8 times more in Alaska than in Indiana. 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· 34th of 51
$31.62
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.