How much rates vary
Facilitymedian $91 · 10th to 90th $30 to $158Professionalmedian $85 · 10th to 90th $33 to $537
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $50.12 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $19.05 | $19.95 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $37.15 | Professional | TC · Technical part | $31.62 | $33.11 | $37.15 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $34.67 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $34.67 | $85.11 | $131.83 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $13.18 | $31.62 | $50.12 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $21.88 | $52.48 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $91.20 Typical High $158.49 | Facility | None | $29.51 | $91.20 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $104.71 | Professional | None (both parts) | $30.90 | $46.77 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $24.55 Typical High $39.81 | Professional | 26 · Professional part | $11.48 | $24.55 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $33.11 Typical High $66.07 | Professional | TC · Technical part | $18.20 | $33.11 | $66.07 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $436.52 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $158.49 | $190.55 | $190.55 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $281.84 | $346.74 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $125.89 | Professional | None (both parts) | $31.62 | $51.29 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $11.75 | $17.78 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.11 Typical High $81.28 | Professional | TC · Technical part | $19.95 | $33.11 | $81.28 |
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 $25.12 Median $26.92 Typical High $30.20 | Professional | 52 · Reduced service | $25.12 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $10.00 | $10.72 | $12.02 |
Where Tennessee sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 14th of 51
$89.13
AK $182TX $41.69
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.