How much rates vary
Facilitymedian $339 · 10th to 90th $100 to $2,291Professionalmedian $229 · 10th to 90th $141 to $1,585
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 $177.83 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $177.83 | $199.53 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $45.71 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $158.49 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $134.90 | $158.49 | $245.47 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $1,000.00 | Facility | None | $50.12 | $138.04 | $1,000.00 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $416.87 | Professional | None (both parts) | $123.03 | $186.21 | $416.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $57.54 | $97.72 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $77.62 | $131.83 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $1,659.59 Typical High $2,691.53 | Facility | None | $52.48 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $138.04 | $194.98 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $36.31 | $47.86 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $134.90 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $691.83 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,148.15 |
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 $128.82 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $128.82 | $213.80 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $61.66 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $85.11 | $147.91 | $302.00 |
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 $89.13 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $89.13 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $35.48 | $39.81 | $48.98 |
Where Tennessee sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 15th of 51
$245
AK $759TX $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.