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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $14.13 | Professional | None | $8.51 | $10.23 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $5.01 Typical High $7.08 | Professional | 52 · Reduced service | $4.17 | $5.01 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.00 Typical High $2.82 | Professional | 53 · Discontinued | $1.70 | $2.00 | $2.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.31 Median $7.59 Typical High $10.72 | Professional | 54 · Surgery only | $6.31 | $7.59 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.51 Typical High $2.14 | Professional | 55 · Aftercare only | $1.26 | $1.51 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $1.00 Typical High $1.45 | Professional | 56 · Pre-op care only | $0.83 | $1.00 | $1.45 |
BCBS Tennessee Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Lucent Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $223.87 | Professional | None | $123.03 | $123.03 | $223.87 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.41 Typical High $8.13 | Professional | None | $4.57 | $7.41 | $8.13 |
Where Tennessee sits
The same service costs 3.2 times more in Rhode Island 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
$8.51
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.