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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $79.43 | Professional | None | $60.26 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.14 Typical High $15.85 | Professional | 53 · Discontinued | $12.02 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.22 Typical High $12.02 | Professional | 55 · Aftercare only | $8.91 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.41 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.03 | $7.41 | $7.94 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
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 $31.62 Typical High $44.67 | Professional | None | $12.88 | $31.62 | $44.67 |
Where Tennessee sits
The same service costs 2.6 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· 25th of 51
$58.88
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.