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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $426.58 | Professional | None | $302.00 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $194.98 Typical High $208.93 | Professional | 52 · Reduced service | $151.36 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $60.26 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $58.88 Typical High $63.10 | Professional | 55 · Aftercare only | $45.71 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $39.81 Typical High $42.66 | Professional | 56 · Pre-op care only | $30.20 | $39.81 | $42.66 |
BCBS Tennessee Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $537.03 | Professional | None | $363.08 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,388.44 | Professional | None | $3,019.95 | $3,019.95 | $3,388.44 |
United Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $234.42 | Professional | None | $147.91 | $213.80 | $234.42 |
Where Tennessee sits
The same service costs 2.8 times more in Montana than in Florida. 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
$363
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.