How much rates vary
Facilitymedian $195 · 10th to 90th $59 to $269Professionalmedian $155 · 10th to 90th $66 to $1,175
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 $100.00 Median $104.71 Typical High $104.71 | Facility | None | $100.00 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $100.00 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $28.18 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $72.44 | $77.62 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $83.18 | Professional | 26 · Professional part | $16.22 | $16.22 | $83.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $64.57 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $64.57 | $138.04 | $213.80 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $18.20 | $54.95 | $66.07 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $37.15 | $83.18 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $218.78 Typical High $269.15 | Facility | None | $58.88 | $218.78 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $87.10 Typical High $251.19 | Professional | None (both parts) | $47.86 | $87.10 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $81.28 | Professional | 26 · Professional part | $16.60 | $27.54 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $52.48 Typical High $162.18 | Professional | TC · Technical part | $30.90 | $52.48 | $162.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None (both parts) | $977.24 | $977.24 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 26 · Professional part | $251.19 | $251.19 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | TC · Technical part | $758.58 | $758.58 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $223.87 | Professional | None (both parts) | $57.54 | $81.28 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $70.79 | Professional | 26 · Professional part | $21.88 | $30.20 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $131.83 | Professional | TC · Technical part | $36.31 | $51.29 | $131.83 |
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 $50.12 Median $52.48 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $20.89 | $23.44 |
Where Tennessee sits
The same service costs 5.2 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
$170
AK $309AL $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.