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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $74.13 | Professional | None | $58.88 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $29.51 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $14.79 | Professional | 53 · Discontinued | $11.75 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.47 Typical High $11.22 | Professional | 55 · Aftercare only | $8.71 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.92 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.89 | $6.92 | $7.41 |
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 $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $691.83 | Professional | None | $446.68 | $446.68 | $691.83 |
United Setting Professional Modifier None Typical Low $12.88 Median $32.36 Typical High $41.69 | Professional | None | $12.88 | $32.36 | $41.69 |
Where Tennessee sits
The same service costs 2.6 times more in Montana than in Ohio. 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
$57.54
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.