How much rates vary
Facilitymedian $13 · 10th to 90th $13 to $13Professionalmedian $13 · 10th to 90th $11 to $200
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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $22.91 | Professional | None | $13.49 | $16.22 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.94 Typical High $11.22 | Professional | 52 · Reduced service | $6.76 | $7.94 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.16 Typical High $4.57 | Professional | 53 · Discontinued | $2.69 | $3.16 | $4.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.00 Median $12.02 Typical High $16.98 | Professional | 54 · Surgery only | $10.00 | $12.02 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.40 Typical High $3.39 | Professional | 55 · Aftercare only | $2.00 | $2.40 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.58 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.35 | $1.58 | $2.29 |
BCBS Tennessee Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Lucent Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | None | $199.53 | $199.53 | $380.19 |
United Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $12.88 | Professional | None | $7.24 | $11.75 | $12.88 |
Where Tennessee sits
The same service costs 3.5 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· 42nd of 51
$13.49
RI $36.31NY $10.23
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.