How much rates vary
Facilitymedian $1,349 · 10th to 90th $407 to $2,630Professionalmedian $457 · 10th to 90th $288 to $3,467
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 $354.81 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $354.81 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $85.11 | $97.72 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $363.08 Typical High $446.68 | Professional | TC · Technical part | $263.03 | $363.08 | $446.68 |
BCBS Tennessee Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $2,290.87 | Facility | None | $758.58 | $1,479.11 | $2,290.87 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $269.15 | $426.58 | $676.08 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $100.00 | $162.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $338.84 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $275.42 | $389.05 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $102.33 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $186.21 | $309.03 | $645.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | 26 · Professional part | $630.96 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $2,630.27 | Professional | TC · Technical part | $2,344.23 | $2,344.23 | $2,630.27 |
United Setting Facility Modifier None Typical Low $302.00 Median $724.44 Typical High $2,570.40 | Facility | None | $302.00 | $724.44 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $891.25 | Professional | None (both parts) | $234.42 | $354.81 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $104.71 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $707.95 | Professional | TC · Technical part | $162.18 | $263.03 | $707.95 |
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 $199.53 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $199.53 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $79.43 | $91.20 | $112.20 |
Where Tennessee sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 16th of 51
$501
AK $1,413KY $219
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.