How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $114.82 Median $128.82 Typical High $151.36 | Facility | None | $114.82 | $128.82 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $165.96 | Professional | None | $114.82 | $128.82 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $208.93 | Professional | None | $131.83 | $165.96 | $208.93 |
BCBS Tennessee Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | None | $147.91 | $165.96 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $125.89 Typical High $208.93 | Professional | None | $64.57 | $125.89 | $208.93 |
Lucent Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,659.59 | Professional | None | $1,230.27 | $1,230.27 | $1,659.59 |
Optum Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | None | $141.25 | $141.25 | $186.21 |
United Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None | $141.25 | $141.25 | $204.17 |
6 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 AF · Specialist physician Typical Low $97.72 Median $134.90 Typical High $151.36 | Professional | AF · Specialist physician | $97.72 | $134.90 | $151.36 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $57.54 Median $75.86 Typical High $128.82 | Professional | TD · Registered nurse | $57.54 | $75.86 | $128.82 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 59 · Distinct service | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier AF · Specialist physician Typical Low $194.98 Median $245.47 Typical High $245.47 | Professional | AF · Specialist physician | $194.98 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier HP · Doctoral level Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | HP · Doctoral level | $194.98 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $131.83 Median $147.91 Typical High $165.96 | Professional | SA · Nurse practitioner | $131.83 | $147.91 | $165.96 |
Where Tennessee sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 35th of 51
$151
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.