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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $29.51 | Professional | None | $17.38 | $20.42 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $10.23 Typical High $14.45 | Professional | 52 · Reduced service | $8.71 | $10.23 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.07 Typical High $5.89 | Professional | 53 · Discontinued | $3.47 | $4.07 | $5.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.88 Median $15.49 Typical High $21.88 | Professional | 54 · Surgery only | $12.88 | $15.49 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $3.09 Typical High $4.37 | Professional | 55 · Aftercare only | $2.57 | $3.09 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.04 Typical High $2.95 | Professional | 56 · Pre-op care only | $1.74 | $2.04 | $2.95 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | None | $30.20 | $30.20 | $48.98 |
BCBS Tennessee Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Lucent Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $16.60 | Professional | None | $9.33 | $15.14 | $16.60 |
Where Tennessee sits
The same service costs 2.6 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· 40th of 51
$17.38
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.