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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $66.07 | Professional | None | $51.29 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $25.70 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $10.23 | $12.30 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $9.33 Typical High $9.77 | Professional | 55 · Aftercare only | $7.76 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.17 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.13 | $6.17 | $6.61 |
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 $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Lucent Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $707.95 | Professional | None | $457.09 | $457.09 | $707.95 |
United Setting Professional Modifier None Typical Low $12.88 Median $29.51 Typical High $37.15 | Professional | None | $12.88 | $29.51 | $37.15 |
Where Tennessee sits
The same service costs 2.9 times more in Montana than in Nebraska. 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· 27th of 51
$51.29
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.