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 $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.24 Typical High $10.23 | Professional | None | $6.03 | $7.24 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.63 Typical High $5.13 | Professional | 52 · Reduced service | $3.02 | $3.63 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.45 Typical High $2.04 | Professional | 53 · Discontinued | $1.20 | $1.45 | $2.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.57 Median $5.37 Typical High $7.76 | Professional | 54 · Surgery only | $4.57 | $5.37 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $1.10 Typical High $1.55 | Professional | 55 · Aftercare only | $0.91 | $1.10 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.72 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.62 | $0.72 | $1.02 |
BCBS Tennessee Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Lucent Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $144.54 | Professional | None | $89.13 | $89.13 | $144.54 |
United Setting Professional Modifier None Typical Low $3.31 Median $5.37 Typical High $5.75 | Professional | None | $3.31 | $5.37 | $5.75 |
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· 41st of 51
$6.03
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.