How much rates vary
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $154.88 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $81.28 | $85.11 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $74.13 | $77.62 | $120.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $389.05 | Professional | None (both parts) | $102.33 | $173.78 | $389.05 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $52.48 | $134.90 | $199.53 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $53.70 | $162.18 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $251.19 Typical High $467.74 | Facility | None | $97.72 | $251.19 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $436.52 | Professional | None (both parts) | $104.71 | $144.54 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $208.93 | Professional | 26 · Professional part | $51.29 | $74.13 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $229.09 | Professional | TC · Technical part | $52.48 | $75.86 | $229.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,862.09 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,862.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | 26 · Professional part | $691.83 | $691.83 | $870.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | TC · Technical part | $912.01 | $912.01 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $398.11 | Professional | None (both parts) | $128.82 | $169.82 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $74.13 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $61.66 | $107.15 | $213.80 |
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 $75.86 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $32.36 | $37.15 |
Where Tennessee sits
The same service costs 6.9 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· 23rd of 51
$240
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.