How much rates vary
Facilitymedian $269 · 10th to 90th $91 to $417Professionalmedian $174 · 10th to 90th $79 to $1,479
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 $120.23 Median $128.82 Typical High $181.97 | Facility | None | $120.23 | $128.82 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $120.23 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $34.67 | Professional | 26 · Professional part | $27.54 | $29.51 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $128.82 | Professional | TC · Technical part | $93.33 | $97.72 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $79.43 | $79.43 | $87.10 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $83.18 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $83.18 | $169.82 | $309.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $19.05 | $52.48 | $70.79 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $63.10 | $120.23 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $269.15 Typical High $416.87 | Facility | None | $91.20 | $269.15 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $234.42 | Professional | None (both parts) | $77.62 | $109.65 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $18.20 | $36.31 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $58.88 | $91.20 | $181.97 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,071.52 | $1,479.11 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $234.42 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $851.14 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $104.71 Typical High $309.03 | Professional | None (both parts) | $61.66 | $104.71 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $21.88 | $33.11 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $72.44 Typical High $229.09 | Professional | TC · Technical part | $38.90 | $72.44 | $229.09 |
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 $60.26 Median $64.57 Typical High $72.44 | Professional | 52 · Reduced service | $60.26 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $25.70 | $28.84 |
Where Tennessee sits
The same service costs 7.1 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· 17th of 51
$204
AK $417AL $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.