How much rates vary
Facilitymedian $145 · 10th to 90th $52 to $195Professionalmedian $129 · 10th to 90th $44 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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | None (both parts) | $67.61 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $18.62 | Professional | 26 · Professional part | $15.49 | $16.60 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $56.23 | $63.10 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $38.90 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $38.90 | $112.20 | $147.91 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $10.96 | $29.51 | $40.74 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $29.51 | $81.28 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $144.54 Typical High $194.98 | Facility | None | $52.48 | $144.54 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $162.18 | Professional | None (both parts) | $38.02 | $61.66 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $15.85 Typical High $42.66 | Professional | 26 · Professional part | $9.55 | $15.85 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $125.89 | Professional | TC · Technical part | $26.30 | $40.74 | $125.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | None (both parts) | $630.96 | $630.96 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | TC · Technical part | $501.19 | $501.19 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $44.67 | $58.88 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $12.88 | $18.62 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $117.49 | Professional | TC · Technical part | $31.62 | $45.71 | $117.49 |
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 $34.67 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $14.45 | $16.22 |
Where Tennessee sits
The same service costs 4.0 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
$132
AK $234AL $58.88
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.