How much rates vary
Facilitymedian $1,413 · 10th to 90th $513 to $3,715Professionalmedian $1,202 · 10th to 90th $794 to $7,244
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 $794.33 Median $794.33 Typical High $1,230.27 | Facility | None | $794.33 | $794.33 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,318.26 | Professional | None | $707.95 | $794.33 | $1,318.26 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $1,513.56 Typical High $1,513.56 | Professional | None | $741.31 | $1,513.56 | $1,513.56 |
BCBS Tennessee Setting Facility Modifier None Typical Low $501.19 Median $1,548.82 Typical High $3,890.45 | Facility | None | $501.19 | $1,548.82 | $3,890.45 |
BCBS Tennessee Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,949.84 | Professional | None | $933.25 | $1,230.27 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,778.28 | Professional | None | $891.25 | $1,000.00 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $7,244.36 | Professional | None | $6,309.57 | $6,309.57 | $7,244.36 |
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 $851.14 Median $1,122.02 Typical High $1,819.70 | Professional | None | $851.14 | $1,122.02 | $1,819.70 |
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 $354.81 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $158.49 | $162.18 |
Where Tennessee sits
The same service costs 10.3 times more in Maine 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.
Physician feeFacility fee
ME $15,629AR $1,524
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.