How much rates vary
Facilitymedian $617 · 10th to 90th $89 to $1,738Professionalmedian $117 · 10th to 90th $74 to $912
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $112.20 | Professional | None (both parts) | $74.13 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $41.69 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $37.15 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
BCBS Tennessee Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,905.46 | Facility | None | $407.38 | $812.83 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $85.11 | $114.82 | $208.93 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $61.66 | $107.15 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $102.33 | Professional | TC · Technical part | $38.90 | $52.48 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $120.23 Typical High $1,659.59 | Facility | None | $61.66 | $120.23 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $75.86 | $97.72 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $52.48 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $46.77 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $616.60 | $616.60 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $446.68 | Professional | 26 · Professional part | $316.23 | $316.23 | $446.68 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $302.00 | $478.63 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $74.13 | $114.82 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $63.10 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $31.62 | $52.48 | $85.11 |
4 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 $36.31 Median $37.15 Typical High $53.70 | Professional | 52 · Reduced service | $36.31 | $37.15 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $21.38 | Professional | 53 · Discontinued | $14.79 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.22 Typical High $16.22 | Professional | 55 · Aftercare only | $10.96 | $11.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $10.72 |
Where Tennessee sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 7th of 51
$191
AK $331AL $56.23
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.