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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $851.14 Typical High $1,122.02 | Professional | None (both parts) | $812.83 | $851.14 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $112.20 | $117.49 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $724.44 Typical High $977.24 | Professional | TC · Technical part | $691.83 | $724.44 | $977.24 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,047.13 Typical High $1,905.46 | Professional | None (both parts) | $758.58 | $1,047.13 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $144.54 | $257.04 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $933.25 Typical High $1,659.59 | Professional | TC · Technical part | $724.44 | $933.25 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,258.93 | Facility | None | $741.31 | $851.14 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,047.13 Typical High $1,995.26 | Professional | None (both parts) | $812.83 | $1,047.13 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $269.15 | Professional | 26 · Professional part | $114.82 | $141.25 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $912.01 Typical High $1,737.80 | Professional | TC · Technical part | $691.83 | $912.01 | $1,737.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $8,511.38 Typical High $8,511.38 | Professional | None (both parts) | $5,888.44 | $8,511.38 | $8,511.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $1,071.52 Typical High $1,071.52 | Professional | 26 · Professional part | $758.58 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,128.61 Median $7,413.10 Typical High $7,413.10 | Professional | TC · Technical part | $5,128.61 | $7,413.10 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,122.02 Typical High $2,041.74 | Professional | None (both parts) | $912.01 | $1,122.02 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $151.36 Typical High $275.42 | Professional | 26 · Professional part | $114.82 | $151.36 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $954.99 Typical High $1,737.80 | Professional | TC · Technical part | $794.33 | $954.99 | $1,737.80 |
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 $407.38 Median $426.58 Typical High $562.34 | Professional | 52 · Reduced service | $407.38 | $426.58 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $169.82 Typical High $223.87 | Professional | 53 · Discontinued | $162.18 | $169.82 | $223.87 |
Where Tennessee sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 22nd of 51
$1,148
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.