How much rates vary
Facilitymedian $83 · 10th to 90th $32 to $135Professionalmedian $112 · 10th to 90th $33 to $646
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 $46.77 Median $48.98 Typical High $69.18 | Facility | None | $46.77 | $48.98 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $53.70 | Facility | TC · Technical part | $26.30 | $28.18 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $141.25 | Professional | None (both parts) | $46.77 | $50.12 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.38 Typical High $63.10 | Professional | 26 · Professional part | $19.95 | $21.38 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $61.66 | Professional | TC · Technical part | $26.30 | $28.84 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | None (both parts) | $30.20 | $30.20 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $31.62 | Professional | 26 · Professional part | $10.72 | $13.18 | $31.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $32.36 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $32.36 | $102.33 | $151.36 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $14.13 | $45.71 | $81.28 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $18.62 | $53.70 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $83.18 Typical High $134.90 | Facility | None | $32.36 | $83.18 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $53.70 Typical High $199.53 | Professional | None (both parts) | $31.62 | $53.70 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $26.92 Typical High $91.20 | Professional | 26 · Professional part | $12.88 | $26.92 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.30 Typical High $89.13 | Professional | TC · Technical part | $17.78 | $26.30 | $89.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $346.74 | Professional | TC · Technical part | $323.59 | $323.59 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $63.10 Typical High $138.04 | Professional | None (both parts) | $38.02 | $63.10 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $16.60 | $32.36 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $77.62 | Professional | TC · Technical part | $21.38 | $29.51 | $77.62 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $24.55 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $9.77 | $10.96 |
Where Tennessee sits
The same service costs 3.6 times more in Wisconsin 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· 15th of 51
$100
WI $155AL $42.66
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.