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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $79.43 | Professional | None (both parts) | $57.54 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $36.31 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $31.62 | Professional | TC · Technical part | $22.91 | $23.99 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $56.23 | $56.23 | $120.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $45.71 | $54.95 | $72.44 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $33.11 | $44.67 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $28.84 | Professional | TC · Technical part | $18.20 | $20.42 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $50.12 | $50.12 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $29.51 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | TC · Technical part | $20.89 | $20.89 | $26.92 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $398.11 | $398.11 | $549.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $165.96 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $40.74 | $54.95 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $33.88 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.88 Typical High $26.92 | Professional | TC · Technical part | $14.13 | $21.88 | $26.92 |
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 $28.84 Median $30.20 Typical High $39.81 | Professional | 52 · Reduced service | $28.84 | $30.20 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $15.85 | Professional | 53 · Discontinued | $11.48 | $12.02 | $15.85 |
Where Tennessee sits
The same service costs 3.7 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· 35th of 51
$58.88
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.