How much rates vary
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,258.93 | Professional | None | $891.25 | $1,000.00 | $1,258.93 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,513.56 | $2,398.83 |
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 $1,071.52 Median $1,174.90 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,174.90 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $9,549.93 | Professional | None | $8,128.31 | $8,128.31 | $9,549.93 |
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 $1,047.13 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,318.26 | $2,238.72 |
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 $446.68 Median $501.19 Typical High $512.86 | Professional | 52 · Reduced service | $446.68 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $204.17 | Professional | 53 · Discontinued | $177.83 | $199.53 | $204.17 |
Where Tennessee sits
The same service costs 3.5 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.
Tennessee· 23rd of 51
$1,479
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.