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 $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.47 Typical High $6.31 | Professional | None | $3.72 | $4.47 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $2.24 Typical High $3.16 | Professional | 52 · Reduced service | $1.86 | $2.24 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.89 Typical High $1.26 | Professional | 53 · Discontinued | $0.76 | $0.89 | $1.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.82 Median $3.39 Typical High $4.79 | Professional | 54 · Surgery only | $2.82 | $3.39 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.68 Typical High $0.95 | Professional | 55 · Aftercare only | $0.56 | $0.68 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.45 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.38 | $0.45 | $0.65 |
BCBS Tennessee Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Lucent Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | None | $54.95 | $54.95 | $66.07 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.31 Typical High $3.63 | Professional | None | $2.04 | $3.31 | $3.63 |
Where Tennessee sits
The same service costs 2.7 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
$3.72
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.