How much rates vary
Facilitymedian $631 · 10th to 90th $151 to $1,950Professionalmedian $302 · 10th to 90th $209 to $1,698
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 $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $218.78 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $83.18 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $141.25 | $162.18 | $204.17 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,905.46 | Facility | None | $407.38 | $812.83 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $204.17 | $275.42 | $512.86 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $107.15 | $186.21 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $331.13 | Professional | TC · Technical part | $117.49 | $165.96 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $275.42 Typical High $1,659.59 | Facility | None | $138.04 | $275.42 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $208.93 | $257.04 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $91.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $169.82 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | 26 · Professional part | $588.84 | $588.84 | $645.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $194.98 | $288.40 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $109.65 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $125.89 | $186.21 | $309.03 |
3 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 $107.15 Median $123.03 Typical High $147.91 | Professional | 52 · Reduced service | $107.15 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $60.26 | Professional | 53 · Discontinued | $43.65 | $48.98 | $60.26 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 51 · Multiple procedures | $114.82 | $114.82 | $114.82 |
Where Tennessee sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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
$398
WI $708UT $135
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.