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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $141.25 | Professional | None | $100.00 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $50.12 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $28.18 | Professional | 53 · Discontinued | $19.95 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.50 Typical High $20.89 | Professional | 55 · Aftercare only | $15.14 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $13.18 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.00 | $13.18 | $14.13 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Professional | None | $870.96 | $870.96 | $933.25 |
United Setting Professional Modifier None Typical Low $15.14 Median $50.12 Typical High $77.62 | Professional | None | $15.14 | $50.12 | $77.62 |
Where Tennessee sits
The same service costs 4.0 times more in Hawaii than in New York. 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· 17th of 51
$100
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.