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 $223.87 | Professional | None | $186.21 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $109.65 | Professional | 52 · Reduced service | $93.33 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.84 Typical High $33.11 | Professional | 55 · Aftercare only | $28.18 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.05 Typical High $22.39 | Professional | 56 · Pre-op care only | $18.62 | $19.05 | $22.39 |
BCBS Tennessee Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | None | $263.03 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Facility | None | $371.54 | $371.54 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Lucent Health Setting Professional Modifier None Typical Low $2,818.38 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,818.38 | $3,235.94 | $3,235.94 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $316.23 | Professional | None | $144.54 | $213.80 | $316.23 |
Where Tennessee sits
The same service costs 3.4 times more in Montana than in New York. 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· 26th of 51
$316
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.