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 $104.71 Median $112.20 Typical High $213.80 | Facility | None | $104.71 | $112.20 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $125.89 | Professional | None | $104.71 | $112.20 | $125.89 |
BCBS Tennessee Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $194.98 | Professional | None | $72.44 | $100.00 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $288.40 Typical High $549.54 | Facility | None | $141.25 | $288.40 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $323.59 | Professional | None | $64.57 | $104.71 | $323.59 |
Lucent Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $295.12 | Professional | None | $85.11 | $138.04 | $295.12 |
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 $52.48 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $22.39 | $25.12 |
Where Tennessee sits
The same service costs 6.0 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· 12th of 51
$240
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.