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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $67.61 | Professional | None | $53.70 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $26.30 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $13.49 | Professional | 53 · Discontinued | $10.72 | $12.59 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $9.55 Typical High $10.23 | Professional | 55 · Aftercare only | $7.94 | $9.55 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.31 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.37 | $6.31 | $6.76 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $676.08 | Professional | None | $446.68 | $446.68 | $676.08 |
United Setting Professional Modifier None Typical Low $12.88 Median $30.20 Typical High $38.02 | Professional | None | $12.88 | $30.20 | $38.02 |
Where Tennessee sits
The same service costs 2.9 times more in Hawaii 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· 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.