How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $4Professionalmedian $4 · 10th to 90th $3 to $62
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 $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $7.08 | Professional | None | $4.17 | $5.13 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.51 Typical High $3.55 | Professional | 52 · Reduced service | $2.09 | $2.51 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.00 Typical High $1.45 | Professional | 53 · Discontinued | $0.83 | $1.00 | $1.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.16 Median $3.80 Typical High $5.37 | Professional | 54 · Surgery only | $3.16 | $3.80 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.63 Median $0.76 Typical High $1.07 | Professional | 55 · Aftercare only | $0.63 | $0.76 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.50 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.42 | $0.50 | $0.71 |
BCBS Tennessee Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Lucent Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $112.20 | Professional | None | $61.66 | $61.66 | $112.20 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.72 Typical High $4.07 | Professional | None | $2.29 | $3.72 | $4.07 |
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· 40th of 51
$4.17
RI $10.72NY $3.31
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.