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 $190.55 Typical High $263.03 | Professional | None | $186.21 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $93.33 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $52.48 | Professional | 53 · Discontinued | $37.15 | $38.02 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $28.18 Typical High $38.90 | Professional | 55 · Aftercare only | $27.54 | $28.18 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.05 Typical High $26.30 | Professional | 56 · Pre-op care only | $18.62 | $19.05 | $26.30 |
BCBS Tennessee Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | None | $257.04 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $380.19 | Facility | None | $363.08 | $363.08 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | None | $269.15 | $269.15 | $363.08 |
Lucent Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,951.21 | $3,630.78 | $3,630.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Facility | None | $165.96 | $165.96 | $223.87 |
United Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $331.13 | Professional | None | $144.54 | $213.80 | $331.13 |
Where Tennessee sits
The same service costs 2.2 times more in Wisconsin than in Pennsylvania. 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· 45th of 51
$269
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.