How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $107Professionalmedian $145 · 10th to 90th $91 to $1,413
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $104.71 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $43.65 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $74.13 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $138.04 | $186.21 | $186.21 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $56.23 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $56.23 | $114.82 | $194.98 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $50.12 | $81.28 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $69.18 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $100.00 | $141.25 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $44.67 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $91.20 | $181.97 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,412.54 | Professional | None (both parts) | $851.14 | $851.14 | $1,412.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $346.74 | Professional | 26 · Professional part | $263.03 | $263.03 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $1,047.13 | Professional | TC · Technical part | $630.96 | $630.96 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $87.10 | $120.23 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $45.71 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $154.88 | Professional | TC · Technical part | $51.29 | $69.18 | $154.88 |
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 $52.48 Median $54.95 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $35.48 | Professional | 53 · Discontinued | $20.89 | $21.88 | $35.48 |
Where Tennessee sits
The same service costs 3.2 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· 34th of 51
$145
AK $347NY $107
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.