How much rates vary
Facilitymedian $186 · 10th to 90th $65 to $240Professionalmedian $123 · 10th to 90th $56 to $1,096
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $81.28 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $23.44 | $25.12 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $60.26 Typical High $67.61 | Professional | TC · Technical part | $57.54 | $60.26 | $67.61 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $52.48 | $107.15 | $194.98 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $16.22 | $38.02 | $60.26 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $75.86 Typical High $131.83 | Professional | TC · Technical part | $34.67 | $75.86 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $186.21 Typical High $239.88 | Facility | None | $64.57 | $186.21 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $158.49 | Professional | None (both parts) | $51.29 | $72.44 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $15.49 | $30.20 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $112.20 | Professional | TC · Technical part | $35.48 | $56.23 | $112.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $724.44 | $1,096.48 | $1,096.48 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $199.53 | $263.03 | $263.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $537.03 | $851.14 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $67.61 Typical High $218.78 | Professional | None (both parts) | $38.90 | $67.61 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.89 Typical High $61.66 | Professional | 26 · Professional part | $13.80 | $20.89 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $44.67 Typical High $151.36 | Professional | TC · Technical part | $25.12 | $44.67 | $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 $40.74 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $16.98 | $19.05 |
Where Tennessee sits
The same service costs 4.6 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· 16th of 51
$151
AK $269AL $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.