How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.65 Median $0.87 Typical High $1.02 | Facility | None | $0.65 | $0.87 | $1.02 |
Aetna Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.66 | Professional | None | $0.65 | $0.65 | $0.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.32 Median $0.32 Typical High $0.33 | Professional | 52 · Reduced service | $0.32 | $0.32 | $0.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 53 · Discontinued | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 55 · Aftercare only | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.07 |
BCBS Tennessee Setting Professional Modifier None Typical Low $0.62 Median $0.69 Typical High $0.74 | Professional | None | $0.62 | $0.69 | $0.74 |
Cigna Setting Facility Modifier None Typical Low $0.71 Median $0.79 Typical High $1.12 | Facility | None | $0.71 | $0.79 | $1.12 |
Cigna Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
United Setting Professional Modifier None Typical Low $0.52 Median $0.68 Typical High $0.68 | Professional | None | $0.52 | $0.68 | $0.68 |
Where Tennessee sits
The same service costs 2.6 times more in Texas than in Wyoming. 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· 44th of 51
$0.68
TX $1.58WY $0.62
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.