How much rates vary
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $64.57 | Professional | None | $38.02 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $22.91 Typical High $32.36 | Professional | 52 · Reduced service | $19.05 | $22.91 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.12 Typical High $12.88 | Professional | 53 · Discontinued | $7.59 | $9.12 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $34.67 Typical High $48.98 | Professional | 54 · Surgery only | $28.84 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.92 Typical High $9.77 | Professional | 55 · Aftercare only | $5.75 | $6.92 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.57 Typical High $6.46 | Professional | 56 · Pre-op care only | $3.80 | $4.57 | $6.46 |
BCBS Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Lucent Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $676.08 | Professional | None | $562.34 | $562.34 | $676.08 |
United Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $37.15 | Professional | None | $20.89 | $33.88 | $37.15 |
Where Tennessee sits
The same service costs 2.8 times more in Hawaii 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· 37th of 51
$38.02
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.