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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $37.15 | Professional | None | $21.88 | $25.70 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $12.88 Typical High $18.62 | Professional | 52 · Reduced service | $10.96 | $12.88 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.25 Typical High $7.41 | Professional | 53 · Discontinued | $4.37 | $5.25 | $7.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.22 Median $19.50 Typical High $27.54 | Professional | 54 · Surgery only | $16.22 | $19.50 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.89 Typical High $5.50 | Professional | 55 · Aftercare only | $3.24 | $3.89 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.57 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.19 | $2.57 | $3.72 |
BCBS Tennessee Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Lucent Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | None | $281.84 | $281.84 | $323.59 |
United Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $20.89 | Professional | None | $11.75 | $19.50 | $20.89 |
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· 35th of 51
$21.88
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.