How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $3 · 10th to 90th $2 to $44
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 $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.55 Typical High $5.01 | Professional | None | $2.95 | $3.55 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.78 Typical High $2.51 | Professional | 52 · Reduced service | $1.48 | $1.78 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.71 Typical High $1.00 | Professional | 53 · Discontinued | $0.59 | $0.71 | $1.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.24 Median $2.63 Typical High $3.80 | Professional | 54 · Surgery only | $2.24 | $2.63 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.52 Typical High $0.76 | Professional | 55 · Aftercare only | $0.44 | $0.52 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.35 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.30 | $0.35 | $0.50 |
BCBS Tennessee Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Lucent Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | None | $43.65 | $43.65 | $72.44 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.63 Typical High $2.82 | Professional | None | $1.62 | $2.63 | $2.82 |
Where Tennessee sits
The same service costs 3.0 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
$2.95
RI $6.76NY $2.29
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.