How much rates vary
Facilitymedian $145 · 10th to 90th $48 to $186Professionalmedian $95 · 10th to 90th $37 to $708
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 $54.95 Median $57.54 Typical High $83.18 | Facility | None | $54.95 | $57.54 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $95.50 | Facility | TC · Technical part | $46.77 | $48.98 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $102.33 | Professional | None (both parts) | $54.95 | $66.07 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $10.47 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $77.62 | Professional | TC · Technical part | $46.77 | $54.95 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $100.00 | Professional | None (both parts) | $37.15 | $37.15 | $100.00 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $38.02 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $38.02 | $95.50 | $125.89 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $6.03 | $16.22 | $22.39 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $32.36 | $77.62 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $144.54 Typical High $186.21 | Facility | None | $52.48 | $144.54 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $51.29 Typical High $114.82 | Professional | None (both parts) | $33.88 | $51.29 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.12 Typical High $22.91 | Professional | 26 · Professional part | $5.62 | $9.12 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $97.72 | Professional | TC · Technical part | $27.54 | $38.02 | $97.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $512.86 | $512.86 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | TC · Technical part | $436.52 | $436.52 | $602.56 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $141.25 | Professional | None (both parts) | $37.15 | $46.77 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $21.88 | Professional | 26 · Professional part | $6.92 | $9.55 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $112.20 | Professional | TC · Technical part | $30.20 | $42.66 | $112.20 |
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 $27.54 Median $28.84 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $28.84 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $11.48 | $13.18 |
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· 15th of 51
$105
AK $209AL $34.67
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.