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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $16.22 | Professional | None | $13.49 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.92 Typical High $8.13 | Professional | 52 · Reduced service | $6.76 | $6.92 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $3.24 | Professional | 53 · Discontinued | $2.69 | $2.75 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.45 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.38 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.35 | $1.38 | $1.62 |
BCBS Tennessee Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $24.55 | Professional | None | $19.05 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.30 | Facility | None | $25.12 | $25.12 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Lucent Health Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $234.42 | Professional | None | $162.18 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $21.38 | Professional | None | $10.47 | $15.49 | $21.38 |
Where Tennessee sits
The same service costs 2.1 times more in Minnesota than in Washington, DC. 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· 30th of 51
$21.38
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.