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 $19.95 Median $21.88 Typical High $40.74 | Facility | None | $19.95 | $21.88 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $43.65 | Professional | None | $19.95 | $21.38 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $33.88 | Professional | None | $13.18 | $13.18 | $33.88 |
BCBS Tennessee Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $35.48 | Professional | None | $13.80 | $18.62 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $54.95 Typical High $104.71 | Facility | None | $26.92 | $54.95 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $61.66 | Professional | None | $12.02 | $19.50 | $61.66 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $58.88 | Professional | None | $15.85 | $26.30 | $58.88 |
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 $10.00 Median $10.47 Typical High $11.75 | Professional | 52 · Reduced service | $10.00 | $10.47 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.17 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $4.17 | $4.79 |
Where Tennessee sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 26th of 51
$33.88
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.