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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $30.20 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $20.42 | Professional | 26 · Professional part | $14.79 | $15.49 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.22 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $16.22 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $31.62 | $34.67 | $34.67 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $48.98 | Professional | None (both parts) | $23.99 | $28.84 | $48.98 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $11.75 | $14.13 | $19.05 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $14.79 Typical High $30.90 | Professional | TC · Technical part | $12.30 | $14.79 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $37.15 | Professional | None (both parts) | $26.30 | $26.30 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $17.78 | Professional | 26 · Professional part | $12.59 | $12.59 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $19.05 | Professional | TC · Technical part | $13.49 | $13.49 | $19.05 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $288.40 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $104.71 | $104.71 | $131.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $45.71 | Professional | None (both parts) | $26.30 | $32.36 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $17.38 | Professional | 26 · Professional part | $12.59 | $15.14 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.22 Typical High $28.84 | Professional | TC · Technical part | $13.49 | $16.22 | $28.84 |
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 $15.14 Median $15.85 Typical High $20.89 | Professional | 52 · Reduced service | $15.14 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $8.32 | Professional | 53 · Discontinued | $6.03 | $6.31 | $8.32 |
Where Tennessee sits
The same service costs 3.4 times more in Alaska than in New York. 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· 37th of 51
$31.62
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.