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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $31.62 | Professional | None | $18.62 | $22.39 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $11.22 Typical High $15.85 | Professional | 52 · Reduced service | $9.33 | $11.22 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.47 Typical High $6.31 | Professional | 53 · Discontinued | $3.80 | $4.47 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.13 Median $16.98 Typical High $23.99 | Professional | 54 · Surgery only | $14.13 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.39 Typical High $4.79 | Professional | 55 · Aftercare only | $2.82 | $3.39 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $2.24 Typical High $3.16 | Professional | 56 · Pre-op care only | $1.86 | $2.24 | $3.16 |
BCBS Tennessee Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | None | $275.42 | $275.42 | $316.23 |
United Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $18.20 | Professional | None | $10.23 | $16.60 | $18.20 |
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· 38th of 51
$18.62
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.