How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $2
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.76 Median $0.76 Typical High $0.76 | Facility | None | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.79 Typical High $0.93 | Professional | None | $0.76 | $0.79 | $0.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.40 Typical High $0.45 | Professional | 52 · Reduced service | $0.38 | $0.40 | $0.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.16 Typical High $0.18 | Professional | 53 · Discontinued | $0.15 | $0.16 | $0.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.12 Typical High $0.14 | Professional | 55 · Aftercare only | $0.11 | $0.12 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.09 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
BCBS Tennessee Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Cigna Setting Professional Modifier None Typical Low $0.47 Median $0.85 Typical High $0.85 | Professional | None | $0.47 | $0.85 | $0.85 |
United Setting Professional Modifier None Typical Low $0.89 Median $1.23 Typical High $2.09 | Professional | None | $0.89 | $1.23 | $2.09 |
Where Tennessee sits
The same service costs 104.7 times more in Wyoming than in Connecticut. 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· 46th of 51
$0.85
WY $75.86CT $0.72
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.