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 $7.59 Median $8.32 Typical High $15.49 | Facility | None | $7.59 | $8.32 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $12.30 | Professional | None | $7.59 | $7.94 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.98 Typical High $6.17 | Professional | 52 · Reduced service | $3.80 | $3.98 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.62 Typical High $2.45 | Professional | 53 · Discontinued | $1.51 | $1.62 | $2.45 |
BCBS Tennessee Setting Professional Modifier None Typical Low $5.25 Median $11.22 Typical High $13.80 | Professional | None | $5.25 | $11.22 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $20.89 Typical High $39.81 | Facility | None | $7.59 | $20.89 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $6.61 Typical High $14.45 | Professional | None | $4.57 | $6.61 | $14.45 |
United Setting Professional Modifier None Typical Low $4.27 Median $7.08 Typical High $15.14 | Professional | None | $4.27 | $7.08 | $15.14 |
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 90 · Outside lab Typical Low $4.57 Median $5.13 Typical High $5.13 | Professional | 90 · Outside lab | $4.57 | $5.13 | $5.13 |
Where Tennessee sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 37th of 51
$8.91
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.