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 $19.50 Median $20.89 Typical High $39.81 | Facility | None | $19.50 | $20.89 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $34.67 | Professional | None | $19.50 | $20.42 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.23 Typical High $15.49 | Professional | 52 · Reduced service | $9.77 | $10.23 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.07 Typical High $6.31 | Professional | 53 · Discontinued | $3.89 | $4.07 | $6.31 |
BCBS Tennessee Setting Professional Modifier None Typical Low $13.49 Median $28.84 Typical High $35.48 | Professional | None | $13.49 | $28.84 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $53.70 Typical High $102.33 | Facility | None | $19.50 | $53.70 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $38.02 | Professional | None | $12.02 | $16.98 | $38.02 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $33.11 | Professional | None | $10.96 | $16.98 | $33.11 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | 90 · Outside lab | $13.18 | $13.18 | $13.18 |
Where Tennessee sits
The same service costs 6.0 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· 38th of 51
$21.88
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.