How much rates vary
Facilitymedian $123 · 10th to 90th $45 to $200Professionalmedian $93 · 10th to 90th $44 to $813
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 $64.57 Median $67.61 Typical High $95.50 | Facility | None | $64.57 | $67.61 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $89.13 | Facility | TC · Technical part | $43.65 | $46.77 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $64.57 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $20.42 | $21.88 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $46.77 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $131.83 | Professional | None (both parts) | $43.65 | $46.77 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $32.36 | Professional | 26 · Professional part | $12.88 | $12.88 | $32.36 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $44.67 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $44.67 | $95.50 | $162.18 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $14.45 | $32.36 | $52.48 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $30.20 | $64.57 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $123.03 Typical High $199.53 | Facility | None | $44.67 | $123.03 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $58.88 Typical High $123.03 | Professional | None (both parts) | $41.69 | $58.88 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $12.88 | $26.30 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $28.18 | $47.86 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $562.34 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $173.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $389.05 | $588.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $56.23 Typical High $165.96 | Professional | None (both parts) | $35.48 | $56.23 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.20 Typical High $51.29 | Professional | 26 · Professional part | $12.02 | $18.20 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $112.20 | Professional | TC · Technical part | $23.44 | $38.90 | $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 $32.36 Median $33.88 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.49 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $13.49 | $15.14 |
Where Tennessee sits
The same service costs 5.9 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· 22nd of 51
$102
AK $347AL $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.