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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $165.96 | Professional | None | $147.91 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $74.13 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $29.51 | $30.20 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.14 Typical High $16.60 | Professional | 56 · Pre-op care only | $14.79 | $15.14 | $16.60 |
BCBS Tennessee Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $263.03 | Professional | None | $251.19 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $295.12 | Facility | None | $275.42 | $275.42 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Lucent Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,737.80 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $263.03 | Professional | None | $131.83 | $199.53 | $263.03 |
Where Tennessee sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 35th of 51
$209
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.