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 $141.25 Median $151.36 Typical High $275.42 | Facility | None | $141.25 | $151.36 | $275.42 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $138.04 | Facility | 52 · Reduced service | $70.79 | $70.79 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $54.95 | Facility | 53 · Discontinued | $28.84 | $28.84 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | None | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $213.80 Typical High $229.09 | Professional | None | $70.79 | $213.80 | $229.09 |
BCBS Tennessee Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $141.25 | Professional | None | $74.13 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $263.03 Typical High $416.87 | Facility | None | $97.72 | $263.03 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $263.03 | Professional | None | $64.57 | $93.33 | $263.03 |
Lucent Health Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,071.52 | Professional | None | $707.95 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $144.54 | Professional | None | $60.26 | $85.11 | $144.54 |
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 $25.12 Median $70.79 Typical High $213.80 | Professional | QW · Waived lab test | $25.12 | $70.79 | $213.80 |
Where Tennessee sits
The same service costs 4.3 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
$141
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.