How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $2 · 10th to 90th $2 to $38
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 $2.19 Median $2.19 Typical High $2.19 | Facility | None | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.63 Typical High $3.72 | Professional | None | $2.19 | $2.63 | $3.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.10 Median $1.32 Typical High $1.86 | Professional | 52 · Reduced service | $1.10 | $1.32 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.52 Typical High $0.76 | Professional | 53 · Discontinued | $0.44 | $0.52 | $0.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.66 Median $1.95 Typical High $2.82 | Professional | 54 · Surgery only | $1.66 | $1.95 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.39 Typical High $0.56 | Professional | 55 · Aftercare only | $0.33 | $0.39 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.26 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.22 | $0.26 | $0.37 |
Ambetter Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Lucent Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $72.44 | Professional | None | $38.02 | $38.02 | $72.44 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.95 Typical High $2.09 | Professional | None | $1.20 | $1.95 | $2.09 |
Where Tennessee sits
The same service costs 4.0 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· 40th of 51
$2.19
RI $6.76NY $1.70
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.