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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $316.23 | Professional | None | $186.21 | $194.98 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.05 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.62 | $19.05 | $21.38 |
BCBS Tennessee Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | None | $251.19 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $275.42 | Facility | None | $263.03 | $263.03 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None | $194.98 | $194.98 | $263.03 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,801.89 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Facility | None | $213.80 | $213.80 | $275.42 |
United Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $263.03 | Professional | None | $138.04 | $199.53 | $263.03 |
Where Tennessee sits
The same service costs 4.7 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· 42nd of 51
$224
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.