How much rates vary
Facilitymedian $288 · 10th to 90th $93 to $417Professionalmedian $158 · 10th to 90th $83 to $1,445
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 $125.89 Median $125.89 Typical High $134.90 | Facility | None | $125.89 | $125.89 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $125.89 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $45.71 | Professional | 26 · Professional part | $31.62 | $33.11 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $100.00 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $77.62 | $85.11 | $109.65 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $85.11 | $120.23 | $281.84 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $20.42 | $63.10 | $87.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $60.26 | $125.89 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $288.40 Typical High $416.87 | Facility | None | $93.33 | $288.40 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $251.19 | Professional | None (both parts) | $79.43 | $100.00 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $91.20 | Professional | 26 · Professional part | $19.95 | $32.36 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $52.48 | $69.18 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,445.44 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $331.13 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $870.96 | $870.96 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $91.20 | $109.65 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $79.43 | Professional | 26 · Professional part | $26.30 | $33.88 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $54.95 | $83.18 | $177.83 |
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 $63.10 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $25.12 | $26.92 | $33.88 |
Where Tennessee sits
The same service costs 4.9 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· 28th of 51
$166
AK $468AL $95.50
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.