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 $11.48 Median $12.02 Typical High $23.44 | Facility | None | $11.48 | $12.02 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $13.49 | Professional | None | $11.48 | $12.02 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
BCBS Tennessee Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $18.62 | Professional | None | $7.59 | $7.94 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $35.48 Typical High $45.71 | Facility | None | $13.18 | $35.48 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $10.23 Typical High $24.55 | Professional | None | $6.76 | $10.23 | $24.55 |
Lucent Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | None | $93.33 | $93.33 | $138.04 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $35.48 | Professional | None | $8.71 | $12.30 | $35.48 |
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 $5.62 Median $6.03 Typical High $6.76 | Professional | 52 · Reduced service | $5.62 | $6.03 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.40 Typical High $2.69 | Professional | 53 · Discontinued | $2.29 | $2.40 | $2.69 |
Where Tennessee sits
The same service costs 4.9 times more in Alaska 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· 13th of 51
$23.99
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.