How much rates vary
Facilitymedian $2,239 · 10th to 90th $933 to $4,898Professionalmedian $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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,513.56 | Professional | None | $707.95 | $794.33 | $1,513.56 |
Ambetter Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,137.96 | $5,128.61 |
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 $588.84 Median $2,089.30 Typical High $3,801.89 | Facility | None | $588.84 | $2,089.30 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,698.24 | Professional | None | $891.25 | $1,000.00 | $1,698.24 |
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 $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,778.28 | Professional | None | $831.76 | $1,096.48 | $1,778.28 |
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 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.