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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $29.51 | Professional | None | $17.38 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $10.47 Typical High $14.79 | Professional | 52 · Reduced service | $8.71 | $10.47 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.17 Typical High $5.89 | Professional | 53 · Discontinued | $3.47 | $4.17 | $5.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $15.85 Typical High $22.39 | Professional | 54 · Surgery only | $13.18 | $15.85 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.16 Typical High $4.47 | Professional | 55 · Aftercare only | $2.63 | $3.16 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.09 Typical High $2.95 | Professional | 56 · Pre-op care only | $1.74 | $2.09 | $2.95 |
BCBS Tennessee Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Lucent Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | None | $257.04 | $257.04 | $269.15 |
United Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $16.98 | Professional | None | $9.55 | $15.49 | $16.98 |
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
$17.38
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.