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 $15.14 Median $16.60 Typical High $30.90 | Facility | None | $15.14 | $16.60 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $37.15 | Professional | None | $15.14 | $15.85 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $10.23 | Professional | None | $8.71 | $10.23 | $10.23 |
BCBS Tennessee Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $27.54 | Professional | None | $10.47 | $14.45 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $41.69 Typical High $79.43 | Facility | None | $20.42 | $41.69 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $46.77 | Professional | None | $9.33 | $15.14 | $46.77 |
Lucent Health Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | None | $151.36 | $177.83 | $177.83 |
United Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $47.86 | Professional | None | $12.02 | $20.42 | $47.86 |
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 $7.59 Median $7.94 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.24 Typical High $3.63 | Professional | 53 · Discontinued | $3.02 | $3.24 | $3.63 |
Where Tennessee sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 17th of 51
$32.36
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.