How much rates vary
Facilitymedian $1,622 · 10th to 90th $562 to $3,715Professionalmedian $2,951 · 10th to 90th $1,950 to $20,893
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,698.24 | $1,995.26 | $3,162.28 |
Ambetter Setting Professional Modifier None Typical Low $3,311.31 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,311.31 | $4,168.69 | $4,168.69 |
BCBS Tennessee Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $3,890.45 | Facility | None | $851.14 | $1,621.81 | $3,890.45 |
BCBS Tennessee Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,344.23 | $3,162.28 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $2,691.53 | Facility | None | $562.34 | $1,047.13 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,344.23 | $4,073.80 |
Lucent Health Setting Professional Modifier None Typical Low $17,782.79 Median $17,782.79 Typical High $20,892.96 | Professional | None | $17,782.79 | $17,782.79 | $20,892.96 |
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 $1,995.26 Median $2,511.89 Typical High $4,570.88 | Professional | None | $1,995.26 | $2,511.89 | $4,570.88 |
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 $851.14 Median $1,000.00 Typical High $1,122.02 | Professional | 52 · Reduced service | $851.14 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $398.11 Typical High $446.68 | Professional | 53 · Discontinued | $338.84 | $398.11 | $446.68 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska 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
AK $12,394AR $2,907
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.