How much rates vary
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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $38.90 | Professional | None | $22.91 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $13.49 Typical High $19.50 | Professional | 52 · Reduced service | $11.48 | $13.49 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.50 Typical High $7.76 | Professional | 53 · Discontinued | $4.57 | $5.50 | $7.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.98 Median $20.42 Typical High $28.84 | Professional | 54 · Surgery only | $16.98 | $20.42 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $4.07 Typical High $5.75 | Professional | 55 · Aftercare only | $3.39 | $4.07 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.75 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.29 | $2.75 | $3.89 |
BCBS Tennessee Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Lucent Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
United Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $21.88 | Professional | None | $12.30 | $20.42 | $21.88 |
Where Tennessee sits
The same service costs 2.7 times more in Hawaii 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· 39th of 51
$22.91
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.