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 $6.61 Median $7.08 Typical High $13.49 | Facility | None | $6.61 | $7.08 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $13.49 | Professional | None | $6.61 | $7.08 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.55 Typical High $5.37 | Professional | 52 · Reduced service | $3.31 | $3.55 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.41 Typical High $2.14 | Professional | 53 · Discontinued | $1.32 | $1.41 | $2.14 |
BCBS Tennessee Setting Professional Modifier None Typical Low $4.57 Median $9.77 Typical High $12.02 | Professional | None | $4.57 | $9.77 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $18.20 Typical High $34.67 | Facility | None | $6.61 | $18.20 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $12.30 | Professional | None | $4.07 | $5.75 | $12.30 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $11.22 | Professional | None | $3.72 | $5.37 | $11.22 |
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 $2.40 Median $2.40 Typical High $2.40 | Professional | 90 · Outside lab | $2.40 | $2.40 | $2.40 |
Where Tennessee sits
The same service costs 4.3 times more in Kansas 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· 39th of 51
$7.59
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.