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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $60.26 | Professional | None | $42.66 | $47.86 | $60.26 |
BCBS Tennessee Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $104.71 | Professional | None | $61.66 | $64.57 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $51.29 | Facility | None | $31.62 | $33.88 | $51.29 |
Lucent Health Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $707.95 | Professional | None | $602.56 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $154.88 | Professional | None | $53.70 | $75.86 | $154.88 |
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 $21.38 Median $23.99 Typical High $30.20 | Professional | 52 · Reduced service | $21.38 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.55 Typical High $12.02 | Professional | 53 · Discontinued | $8.51 | $9.55 | $12.02 |
Where Tennessee sits
The same service costs 11.2 times more in Texas 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· 7th of 51
$155
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.