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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $288.40 | Professional | None | $208.93 | $213.80 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $141.25 | Professional | 52 · Reduced service | $104.71 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $57.54 | Professional | 53 · Discontinued | $41.69 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $28.84 | Professional | 56 · Pre-op care only | $20.89 | $21.38 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
BCBS Tennessee Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | None | $295.12 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $323.59 | Facility | None | $309.03 | $309.03 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | None | $223.87 | $223.87 | $309.03 |
Lucent Health Setting Professional Modifier None Typical Low $3,311.31 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,311.31 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $245.47 | Facility | None | $138.04 | $138.04 | $245.47 |
United Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $371.54 | Professional | None | $162.18 | $239.88 | $371.54 |
Where Tennessee sits
The same service costs 2.7 times more in Montana 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· 38th of 51
$295
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.