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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $63.10 | Professional | None | $50.12 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $29.51 Typical High $31.62 | Professional | 52 · Reduced service | $25.12 | $29.51 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.75 Typical High $12.59 | Professional | 53 · Discontinued | $10.00 | $11.75 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $8.71 Typical High $9.33 | Professional | 55 · Aftercare only | $7.41 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.89 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.01 | $5.89 | $6.31 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Lucent Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | None | $467.74 | $467.74 | $588.84 |
United Setting Professional Modifier None Typical Low $10.96 Median $28.84 Typical High $34.67 | Professional | None | $10.96 | $28.84 | $34.67 |
Where Tennessee sits
The same service costs 3.1 times more in Montana 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· 29th of 51
$48.98
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.