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 $13.49 Median $14.45 Typical High $27.54 | Facility | None | $13.49 | $14.45 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $15.85 | Professional | None | $13.49 | $14.13 | $15.85 |
BCBS Tennessee Setting Professional Modifier None Typical Low $9.33 Median $10.72 Typical High $21.38 | Professional | None | $9.33 | $10.72 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $37.15 Typical High $64.57 | Facility | None | $15.85 | $37.15 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $34.67 | Professional | None | $8.13 | $12.30 | $34.67 |
Lucent Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $37.15 | Professional | None | $10.72 | $14.45 | $37.15 |
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 $6.76 Median $7.08 Typical High $7.94 | Professional | 52 · Reduced service | $6.76 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.82 Typical High $3.24 | Professional | 53 · Discontinued | $2.69 | $2.82 | $3.24 |
Where Tennessee sits
The same service costs 10.2 times more in Texas 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· 10th of 51
$30.90
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.