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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $95.50 | Professional | None | $69.18 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $13.80 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.49 Typical High $14.45 | Professional | 55 · Aftercare only | $10.23 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.91 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.92 | $8.91 | $9.55 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Lucent Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $741.31 | Professional | None | $478.63 | $478.63 | $741.31 |
United Setting Professional Modifier None Typical Low $12.88 Median $35.48 Typical High $53.70 | Professional | None | $12.88 | $35.48 | $53.70 |
Where Tennessee sits
The same service costs 2.4 times more in Hawaii 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· 23rd of 51
$69.18
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.