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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $37.15 | Professional | None | $22.39 | $26.30 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.18 Typical High $18.62 | Professional | 52 · Reduced service | $10.96 | $13.18 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.25 Typical High $7.59 | Professional | 53 · Discontinued | $4.47 | $5.25 | $7.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $19.95 Typical High $28.18 | Professional | 54 · Surgery only | $16.60 | $19.95 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.98 Typical High $5.62 | Professional | 55 · Aftercare only | $3.31 | $3.98 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.63 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.24 | $2.63 | $3.80 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
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 $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Lucent Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $436.52 | Professional | None | $323.59 | $323.59 | $436.52 |
United Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $21.38 | Professional | None | $12.02 | $19.50 | $21.38 |
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· 39th of 51
$22.39
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.