How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $269.15 Median $295.12 Typical High $549.54 | Facility | None | $269.15 | $295.12 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $269.15 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $141.25 Typical High $177.83 | Professional | 52 · Reduced service | $134.90 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $53.70 | $56.23 | $72.44 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $186.21 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $724.44 Typical High $891.25 | Facility | None | $288.40 | $724.44 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,691.53 Typical High $2,691.53 | Professional | None (both parts) | $1,778.28 | $2,691.53 | $2,691.53 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $2,238.72 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $147.91 | $213.80 | $354.81 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $275.42 Typical High $316.23 | Professional | 26 · Professional part | $269.15 | $275.42 | $316.23 |
Where Tennessee sits
The same service costs 10.2 times more in Alaska than in Mississippi. 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· 14th of 51
$355
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.