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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $64.57 | Professional | None | $51.29 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $30.20 Typical High $32.36 | Professional | 52 · Reduced service | $25.12 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.23 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $9.12 Typical High $9.77 | Professional | 55 · Aftercare only | $7.59 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.03 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.13 | $6.03 | $6.46 |
BCBS Tennessee Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None | $56.23 | $56.23 | $81.28 |
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 $489.78 Median $489.78 Typical High $562.34 | Professional | None | $489.78 | $489.78 | $562.34 |
United Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $36.31 | Professional | None | $24.55 | $33.11 | $36.31 |
Where Tennessee sits
The same service costs 2.8 times more in Montana than in Alabama. 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· 25th of 51
$56.23
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.