How much rates vary
Facilitymedian $174 · 10th to 90th $126 to $324Professionalmedian $120 · 10th to 90th $81 to $977
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 $87.10 Median $87.10 Typical High $147.91 | Facility | None | $87.10 | $87.10 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $120.23 | Professional | None (both parts) | $87.10 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $23.99 | $25.12 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $61.66 | $64.57 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $70.79 | $83.18 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $32.36 | $46.77 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $75.86 | $109.65 | $204.17 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $33.11 | $58.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $83.18 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $323.59 | Facility | None | $154.88 | $173.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $81.28 | $91.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $26.30 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $64.57 | $141.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $676.08 | $977.24 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $181.97 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $489.78 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $97.72 | $117.49 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $33.11 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $83.18 | $144.54 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 59 · Distinct service | $83.18 | $83.18 | $83.18 |
Where Tennessee sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 29th of 51
$120
AK $309TX $83.18
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.