How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $12Professionalmedian $12 · 10th to 90th $10 to $182
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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $20.89 | Professional | None | $12.30 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.41 Typical High $10.47 | Professional | 52 · Reduced service | $6.17 | $7.41 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.95 Typical High $4.17 | Professional | 53 · Discontinued | $2.45 | $2.95 | $4.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $10.96 Typical High $15.49 | Professional | 54 · Surgery only | $9.12 | $10.96 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.19 Typical High $3.09 | Professional | 55 · Aftercare only | $1.82 | $2.19 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.48 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.23 | $1.48 | $2.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Lucent Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | None | $181.97 | $181.97 | $316.23 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.96 Typical High $11.75 | Professional | None | $6.61 | $10.96 | $11.75 |
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
$12.30
RI $30.20NY $9.55
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.