How much rates vary
Facilitymedian $427 · 10th to 90th $151 to $562Professionalmedian $331 · 10th to 90th $132 to $2,399
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 $199.53 Median $208.93 Typical High $338.84 | Facility | None | $199.53 | $208.93 | $338.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $281.84 | Facility | TC · Technical part | $138.04 | $147.91 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $199.53 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $70.79 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $138.04 | $151.36 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | None (both parts) | $128.82 | $128.82 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $37.15 | $93.33 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $131.83 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $131.83 | $309.03 | $478.63 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $41.69 | $109.65 | $151.36 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $194.98 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $436.52 Typical High $575.44 | Facility | None | $144.54 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $467.74 | Professional | None (both parts) | $125.89 | $190.55 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $151.36 | Professional | 26 · Professional part | $38.02 | $61.66 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $100.00 | $288.40 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,398.83 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | 26 · Professional part | $512.86 | $512.86 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,778.28 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $501.19 | Professional | None (both parts) | $147.91 | $177.83 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $66.07 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $354.81 | Professional | TC · Technical part | $97.72 | $117.49 | $354.81 |
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 $100.00 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $100.00 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $39.81 | $41.69 | $46.77 |
Where Tennessee sits
The same service costs 4.2 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· 14th of 51
$372
AK $575AL $138
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.