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 $0.28 Median $1.91 Typical High $2.88 | Facility | None | $0.28 | $1.91 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $2.00 | Professional | None | $1.91 | $1.91 | $2.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.95 Median $0.95 Typical High $1.00 | Professional | 52 · Reduced service | $0.95 | $0.95 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.38 Typical High $0.39 | Professional | 53 · Discontinued | $0.38 | $0.38 | $0.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.30 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.20 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2.04 Median $2.19 Typical High $5.01 | Professional | None | $2.04 | $2.19 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $2.34 Typical High $3.39 | Facility | None | $2.09 | $2.34 | $3.39 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $4.17 | Professional | None | $2.14 | $2.14 | $4.17 |
Where Tennessee sits
The same service costs 2.5 times more in Texas than in South Carolina. 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· 26th of 51
$2.14
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.