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 $51.29 Median $51.29 Typical High $100.00 | Facility | None | $51.29 | $51.29 | $100.00 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $50.12 | Facility | 52 · Reduced service | $25.70 | $25.70 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $19.95 | Facility | 53 · Discontinued | $10.23 | $10.23 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $81.28 | Professional | None | $51.29 | $51.29 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $89.13 | Professional | None | $25.70 | $25.70 | $89.13 |
BCBS Tennessee Setting Professional Modifier None Typical Low $26.92 Median $51.29 Typical High $51.29 | Professional | None | $26.92 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $151.36 | Facility | None | $41.69 | $95.50 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $93.33 | Professional | None | $23.44 | $34.67 | $93.33 |
Lucent Health Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $389.05 | Professional | None | $257.04 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $51.29 | Professional | None | $30.90 | $48.98 | $51.29 |
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 QW · Waived lab test Typical Low $21.88 Median $31.62 Typical High $77.62 | Professional | QW · Waived lab test | $21.88 | $31.62 | $77.62 |
Where Tennessee sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 23rd of 51
$51.29
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.