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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $501.19 Typical High $549.54 | Professional | None | $489.78 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $251.19 Typical High $275.42 | Professional | 52 · Reduced service | $245.47 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $97.72 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $48.98 | $50.12 | $54.95 |
BCBS Tennessee Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | None | $660.69 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Facility | None | $616.60 | $616.60 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Lucent Health Setting Professional Modifier None Typical Low $5,623.41 Median $8,317.64 Typical High $8,317.64 | Professional | None | $5,623.41 | $8,317.64 | $8,317.64 |
United Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $707.95 | Professional | None | $354.81 | $524.81 | $707.95 |
Where Tennessee sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 39th of 51
$575
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.