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 $38.02 Median $39.81 Typical High $77.62 | Facility | None | $38.02 | $39.81 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $44.67 | Professional | None | $38.02 | $39.81 | $44.67 |
BCBS Tennessee Setting Professional Modifier None Typical Low $7.59 Median $26.30 Typical High $50.12 | Professional | None | $7.59 | $26.30 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $102.33 Typical High $147.91 | Facility | None | $33.88 | $102.33 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $26.30 Typical High $81.28 | Professional | None | $10.23 | $26.30 | $81.28 |
Lucent Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $380.19 | Professional | None | $251.19 | $251.19 | $380.19 |
United Setting Professional Modifier None Typical Low $8.71 Median $30.20 Typical High $66.07 | Professional | None | $8.71 | $30.20 | $66.07 |
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 $19.05 Median $19.95 Typical High $22.39 | Professional | 52 · Reduced service | $19.05 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $8.91 | Professional | 53 · Discontinued | $7.59 | $7.94 | $8.91 |
Where Tennessee sits
The same service costs 10.2 times more in Alaska than in Kentucky. 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· 8th of 51
$66.07
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.