How much rates vary
Facilitymedian $155 · 10th to 90th $71 to $288Professionalmedian $200 · 10th to 90th $69 to $977
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $85.11 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $38.90 | Professional | 26 · Professional part | $32.36 | $33.88 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $53.70 | $56.23 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $57.54 | Professional | None (both parts) | $52.48 | $53.70 | $57.54 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $58.88 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $58.88 | $181.97 | $263.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $22.39 | $70.79 | $104.71 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $37.15 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $288.40 | Facility | None | $70.79 | $154.88 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $269.15 | Professional | None (both parts) | $54.95 | $87.10 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $114.82 | Professional | 26 · Professional part | $20.42 | $33.88 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $53.70 Typical High $154.88 | Professional | TC · Technical part | $34.67 | $53.70 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $977.24 | Professional | None (both parts) | $912.01 | $912.01 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $338.84 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $645.65 | Professional | TC · Technical part | $562.34 | $562.34 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $70.79 | $120.23 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $89.13 | Professional | 26 · Professional part | $26.92 | $41.69 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $66.07 Typical High $151.36 | Professional | TC · Technical part | $44.67 | $66.07 | $151.36 |
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 $42.66 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $18.20 | $20.42 |
Where Tennessee sits
The same service costs 4.5 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· 13th of 51
$178
AK $316AL $70.79
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.