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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $79.43 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $38.02 | $51.29 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $95.50 | Professional | None (both parts) | $61.66 | $72.44 | $95.50 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $40.74 | $53.70 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $42.66 | Professional | TC · Technical part | $26.92 | $32.36 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $67.61 | $67.61 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $36.31 | $36.31 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $32.36 | $32.36 | $41.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $549.54 | $549.54 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | 26 · Professional part | $281.84 | $281.84 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | TC · Technical part | $354.81 | $354.81 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $60.26 | $75.86 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $40.74 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $28.84 | $34.67 | $41.69 |
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 $39.81 Median $41.69 Typical High $54.95 | Professional | 52 · Reduced service | $39.81 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $21.88 | Professional | 53 · Discontinued | $15.85 | $16.60 | $21.88 |
Where Tennessee sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$79.43
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.