How much rates vary
Facilitymedian $257 · 10th to 90th $29 to $363Professionalmedian $43 · 10th to 90th $28 to $288
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 $28.84 Median $28.84 Typical High $89.13 | Facility | None | $28.84 | $28.84 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $51.29 | Professional | None (both parts) | $28.84 | $32.36 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $18.20 | Professional | 26 · Professional part | $10.23 | $11.48 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $20.89 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $28.18 | $28.18 | $39.81 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $22.39 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $22.39 | $38.90 | $69.18 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $15.85 | $27.54 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $25.12 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $257.04 Typical High $363.08 | Facility | None | $125.89 | $257.04 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $74.13 | Professional | None (both parts) | $28.18 | $36.31 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.79 Typical High $29.51 | Professional | 26 · Professional part | $9.77 | $14.79 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $22.39 | $44.67 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $194.98 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $91.20 | $91.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $33.88 | $40.74 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $12.88 | $16.98 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $19.95 | $23.99 | $45.71 |
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 $14.45 Median $15.14 Typical High $20.42 | Professional | 52 · Reduced service | $14.45 | $15.14 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $8.13 | Professional | 53 · Discontinued | $5.75 | $6.03 | $8.13 |
Where Tennessee sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 21st of 51
$42.66
AK $83.18FL $30.90
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.