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 $1.00 Median $1.00 Typical High $1.62 | Facility | None | $1.00 | $1.00 | $1.62 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $2.04 | Professional | None | $1.00 | $1.00 | $2.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.50 Median $0.50 Typical High $0.52 | Professional | 52 · Reduced service | $0.50 | $0.50 | $0.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | 53 · Discontinued | $0.20 | $0.20 | $0.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.10 |
BCBS Tennessee Setting Professional Modifier None Typical Low $0.71 Median $0.91 Typical High $2.14 | Professional | None | $0.71 | $0.91 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $1.10 Median $1.23 Typical High $1.78 | Facility | None | $1.10 | $1.23 | $1.78 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Lucent Health Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
United Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $3.24 | Professional | None | $0.89 | $0.89 | $3.24 |
Where Tennessee sits
The same service costs 2.5 times more in Texas than in Maryland. 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
$1.00
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.