How much rates vary
Facilitymedian $832 · 10th to 90th $275 to $1,202Professionalmedian $661 · 10th to 90th $214 to $4,169
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 $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $346.74 | Professional | None (both parts) | $295.12 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $58.88 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $281.84 | Professional | TC · Technical part | $234.42 | $251.19 | $281.84 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $204.17 Median $549.54 Typical High $912.01 | Professional | None (both parts) | $204.17 | $549.54 | $912.01 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $38.90 | $102.33 | $141.25 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $436.52 Typical High $794.33 | Professional | TC · Technical part | $165.96 | $436.52 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $831.76 Typical High $1,202.26 | Facility | None | $275.42 | $831.76 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $741.31 | Professional | None (both parts) | $177.83 | $309.03 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $58.88 Typical High $144.54 | Professional | 26 · Professional part | $35.48 | $58.88 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $616.60 | Professional | TC · Technical part | $147.91 | $239.88 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $4,168.69 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,951.21 Median $2,951.21 Typical High $3,548.13 | Professional | TC · Technical part | $2,951.21 | $2,951.21 | $3,548.13 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $213.80 | $380.19 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $42.66 | $61.66 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $707.95 | Professional | TC · Technical part | $169.82 | $316.23 | $707.95 |
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 $147.91 Median $154.88 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | 53 · Discontinued | $58.88 | $61.66 | $69.18 |
Where Tennessee sits
The same service costs 11.5 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· 7th of 51
$724
AK $1,778AL $155
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.