How much rates vary
Facilitymedian $8 · 10th to 90th $8 to $8Professionalmedian $8 · 10th to 90th $6 to $158
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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $13.49 | Professional | None | $7.94 | $9.77 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $4.68 Typical High $6.76 | Professional | 52 · Reduced service | $3.98 | $4.68 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.86 Typical High $2.69 | Professional | 53 · Discontinued | $1.58 | $1.86 | $2.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.89 Median $7.08 Typical High $10.00 | Professional | 54 · Surgery only | $5.89 | $7.08 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.41 Typical High $2.00 | Professional | 55 · Aftercare only | $1.17 | $1.41 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.93 Typical High $1.35 | Professional | 56 · Pre-op care only | $0.79 | $0.93 | $1.35 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $21.88 | Professional | None | $7.59 | $7.59 | $21.88 |
BCBS Tennessee Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Lucent Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | None | $158.49 | $158.49 | $302.00 |
United Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $7.59 | Professional | None | $4.27 | $7.08 | $7.59 |
Where Tennessee sits
The same service costs 4.5 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· 44th of 51
$7.94
RI $27.54NY $6.17
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.