How much rates vary
Facilitymedian $240 · 10th to 90th $81 to $309Professionalmedian $141 · 10th to 90th $66 to $1,349
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $95.50 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $29.51 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $70.79 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $66.07 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $66.07 | $144.54 | $218.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $19.50 | $48.98 | $70.79 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $46.77 | $93.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $251.19 Typical High $309.03 | Facility | None | $81.28 | $251.19 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $239.88 | Professional | None (both parts) | $63.10 | $95.50 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $74.13 | Professional | 26 · Professional part | $17.78 | $28.84 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $169.82 | Professional | TC · Technical part | $38.90 | $58.88 | $169.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | 26 · Professional part | $269.15 | $269.15 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $85.11 Typical High $263.03 | Professional | None (both parts) | $60.26 | $85.11 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $20.42 | $29.51 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $60.26 Typical High $151.36 | Professional | TC · Technical part | $39.81 | $60.26 | $151.36 |
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 $47.86 Median $50.12 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $19.95 | $22.91 |
Where Tennessee sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 15th of 51
$174
AK $331AL $57.54
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.