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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $31.62 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $22.91 | Professional | 26 · Professional part | $15.85 | $21.38 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $15.49 | $21.88 | $21.88 |
BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,479.11 Typical High $2,137.96 | Facility | None | $724.44 | $1,479.11 | $2,137.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $41.69 | $53.70 | $77.62 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $26.92 | $38.90 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $26.30 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $26.30 Typical High $33.88 | Facility | None | $21.38 | $26.30 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $257.04 | Professional | None (both parts) | $66.07 | $75.86 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $380.19 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $190.55 | $213.80 | $213.80 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $239.88 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $37.15 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $22.91 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $22.39 | $40.74 |
2 more rates 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 52 · Reduced service Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $15.85 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $6.31 | $8.91 | $8.91 |
Where Tennessee sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 19th of 51
$57.54
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.