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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | None (both parts) | $52.48 | $52.48 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $11.22 | $11.48 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $40.74 | $42.66 | $60.26 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $23.44 | $28.18 | $54.95 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $12.02 | $16.98 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.22 Typical High $42.66 | Professional | TC · Technical part | $13.18 | $16.22 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $58.88 | Professional | None (both parts) | $28.18 | $28.18 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $12.88 | Professional | 26 · Professional part | $11.22 | $11.22 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $43.65 | Professional | TC · Technical part | $14.45 | $14.45 | $43.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $42.66 | $54.95 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $13.49 | Professional | 26 · Professional part | $9.12 | $10.96 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $43.65 | $54.95 |
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 $25.70 Median $26.30 Typical High $36.31 | Professional | 52 · Reduced service | $25.70 | $26.30 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $14.45 | Professional | 53 · Discontinued | $10.47 | $10.47 | $14.45 |
Where Tennessee sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 25th of 51
$52.48
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.