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 $10.00 Median $10.72 Typical High $20.42 | Facility | None | $10.00 | $10.72 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $16.22 | Professional | None | $10.00 | $10.72 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.25 Typical High $8.13 | Professional | 52 · Reduced service | $5.01 | $5.25 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.14 Typical High $3.24 | Professional | 53 · Discontinued | $2.00 | $2.14 | $3.24 |
BCBS Tennessee Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $15.49 | Professional | None | $6.92 | $13.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $28.18 Typical High $47.86 | Facility | None | $9.33 | $28.18 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $7.94 Typical High $19.05 | Professional | None | $6.17 | $7.94 | $19.05 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.13 Typical High $16.22 | Professional | None | $5.62 | $8.13 | $16.22 |
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 $6.76 Median $6.76 Typical High $6.76 | Professional | 90 · Outside lab | $6.76 | $6.76 | $6.76 |
Where Tennessee sits
The same service costs 3.7 times more in Kansas than in New Jersey. 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· 33rd of 51
$10.96
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.