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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $47.86 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $8.32 | $8.51 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $39.81 | $41.69 | $54.95 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $64.57 | Professional | None (both parts) | $38.02 | $42.66 | $64.57 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $11.48 | Professional | 26 · Professional part | $6.61 | $7.94 | $11.48 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $33.88 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $41.69 | $41.69 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $9.55 | Professional | 26 · Professional part | $6.76 | $6.76 | $9.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $34.67 | $34.67 | $41.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $346.74 | $346.74 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $288.40 | $288.40 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $28.84 | $45.71 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.13 Typical High $10.00 | Professional | 26 · Professional part | $6.61 | $8.13 | $10.00 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $37.15 | $46.77 |
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 $23.99 Median $25.12 Typical High $33.11 | Professional | 52 · Reduced service | $23.99 | $25.12 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.00 Typical High $13.49 | Professional | 53 · Discontinued | $9.55 | $10.00 | $13.49 |
Where Tennessee sits
The same service costs 3.5 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
$48.98
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.