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 $75.86 Median $89.13 Typical High $95.50 | Professional | None | $75.86 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $38.02 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $15.14 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.49 Typical High $14.45 | Professional | 55 · Aftercare only | $11.48 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.91 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.59 | $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 $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,023.29 | Professional | None | $724.44 | $724.44 | $1,023.29 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $53.70 | Professional | None | $35.48 | $48.98 | $53.70 |
Where Tennessee sits
The same service costs 3.2 times more in Hawaii than in Arizona. 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· 20th of 51
$89.13
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.