How much rates vary
Facilitymedian $25 · 10th to 90th $25 to $25Professionalmedian $25 · 10th to 90th $19 to $363
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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $41.69 | Professional | None | $24.55 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $14.79 Typical High $20.89 | Professional | 52 · Reduced service | $12.30 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.89 Typical High $8.32 | Professional | 53 · Discontinued | $4.90 | $5.89 | $8.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $21.88 Typical High $30.90 | Professional | 54 · Surgery only | $18.62 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.37 Typical High $6.17 | Professional | 55 · Aftercare only | $3.72 | $4.37 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.95 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.45 | $2.95 | $4.17 |
BCBS Tennessee Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Lucent Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $630.96 | Professional | None | $363.08 | $363.08 | $630.96 |
United Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $23.44 | Professional | None | $13.49 | $21.88 | $23.44 |
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· 39th of 51
$24.55
RI $60.26NY $19.05
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.