How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $12Professionalmedian $12 · 10th to 90th $10 to $178
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 $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $20.42 | Professional | None | $12.02 | $14.79 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $7.24 Typical High $10.23 | Professional | 52 · Reduced service | $6.03 | $7.24 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.88 Typical High $4.07 | Professional | 53 · Discontinued | $2.40 | $2.88 | $4.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $10.96 Typical High $15.49 | Professional | 54 · Surgery only | $9.12 | $10.96 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.19 Typical High $3.09 | Professional | 55 · Aftercare only | $1.82 | $2.19 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.45 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.20 | $1.45 | $2.04 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $33.88 | Professional | None | $11.75 | $11.75 | $33.88 |
BCBS Tennessee Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Lucent Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $281.84 | Professional | None | $177.83 | $177.83 | $281.84 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.72 Typical High $11.75 | Professional | None | $6.61 | $10.72 | $11.75 |
Where Tennessee sits
The same service costs 2.9 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· 44th of 51
$12.02
RI $26.92NY $9.33
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.