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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $21.88 | Professional | None | $12.88 | $15.49 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.76 Typical High $10.96 | Professional | 52 · Reduced service | $6.46 | $7.76 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.09 Typical High $4.37 | Professional | 53 · Discontinued | $2.57 | $3.09 | $4.37 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.77 Median $11.75 Typical High $16.60 | Professional | 54 · Surgery only | $9.77 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.34 Typical High $3.31 | Professional | 55 · Aftercare only | $1.95 | $2.34 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.55 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.29 | $1.55 | $2.19 |
BCBS Tennessee Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Lucent Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | None | $190.55 | $190.55 | $204.17 |
United Setting Professional Modifier None Typical Low $7.08 Median $11.48 Typical High $12.59 | Professional | None | $7.08 | $11.48 | $12.59 |
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
$12.88
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.