How much rates vary
Facilitymedian $562 · 10th to 90th $45 to $1,738Professionalmedian $62 · 10th to 90th $43 to $347
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 $38.02 Median $43.65 Typical High $72.44 | Facility | None | $38.02 | $43.65 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $38.02 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $26.30 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.98 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $16.98 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $38.90 | $45.71 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $30.90 | $47.86 |
BCBS Tennessee Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $1,862.09 | Facility | None | $398.11 | $741.31 | $1,862.09 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $50.12 | $66.07 | $104.71 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $39.81 | $63.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $39.81 | Professional | TC · Technical part | $19.05 | $25.12 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $45.71 Typical High $1,445.44 | Facility | None | $22.91 | $45.71 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $44.67 | $54.95 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $16.22 | $20.42 | $33.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $346.74 | $346.74 | $446.68 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | 26 · Professional part | $208.93 | $208.93 | $257.04 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | TC · Technical part | $144.54 | $144.54 | $186.21 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,737.80 | Facility | None | $107.15 | $436.52 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $44.67 | $63.10 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $40.74 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.44 Typical High $38.02 | Professional | TC · Technical part | $16.22 | $23.44 | $38.02 |
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 $19.05 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $19.05 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $7.59 | $8.51 | $8.71 |
Where Tennessee sits
The same service costs 6.5 times more in Minnesota 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· 10th of 51
$87.10
MN $295KY $45.71
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.