How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $165.96 Median $204.17 Typical High $245.47 | Facility | None | $165.96 | $204.17 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | None | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $16.98 |
BCBS Tennessee Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | None | $162.18 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $288.40 | Facility | None | $181.97 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | None | $162.18 | $162.18 | $204.17 |
Where Tennessee sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 40th of 51
$166
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.