How much rates vary
Facilitymedian $692 · 10th to 90th $224 to $1,072Professionalmedian $372 · 10th to 90th $182 to $3,311
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $288.40 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $46.77 | $50.12 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $316.23 | Professional | TC · Technical part | $239.88 | $257.04 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $194.98 | $371.54 | $724.44 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $32.36 | $87.10 | $120.23 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $151.36 | $309.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $691.83 Typical High $1,071.52 | Facility | None | $223.87 | $691.83 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $549.54 | Professional | None (both parts) | $177.83 | $229.09 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $30.20 | $61.66 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $141.25 | $229.09 | $467.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $2,570.40 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,187.76 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $223.87 Typical High $676.08 | Professional | None (both parts) | $112.20 | $223.87 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $54.95 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $75.86 | $186.21 | $562.34 |
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 $144.54 Median $151.36 Typical High $169.82 | Professional | 52 · Reduced service | $144.54 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $67.61 | Professional | 53 · Discontinued | $57.54 | $60.26 | $67.61 |
Where Tennessee sits
The same service costs 9.1 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· 17th of 51
$437
AK $891AL $97.72
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.