How much rates vary
Facilitymedian $155 · 10th to 90th $155 to $178Professionalmedian $155 · 10th to 90th $25 to $182
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 $154.88 Median $154.88 Typical High $177.83 | Facility | None | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | None | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $77.62 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | None | $208.93 | $229.09 | $229.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $309.03 | Professional | None | $208.93 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Optum Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Where Tennessee sits
The same service costs 5.2 times more in Alaska than in New York. 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· 43rd of 51
$155
AK $282NY $53.70
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.