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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $60.26 | Professional | None | $46.77 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $28.18 Typical High $30.20 | Professional | 52 · Reduced service | $23.44 | $28.18 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.22 Typical High $12.02 | Professional | 53 · Discontinued | $9.33 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.32 Typical High $8.91 | Professional | 55 · Aftercare only | $7.08 | $8.32 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.62 Typical High $6.03 | Professional | 56 · Pre-op care only | $4.68 | $5.62 | $6.03 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Lucent Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $645.65 | Professional | None | $416.87 | $416.87 | $645.65 |
United Setting Professional Modifier None Typical Low $12.88 Median $26.92 Typical High $33.88 | Professional | None | $12.88 | $26.92 | $33.88 |
Where Tennessee sits
The same service costs 2.8 times more in Montana than in Indiana. 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· 26th of 51
$46.77
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.