How much rates vary
Facilitymedian $141 · 10th to 90th $141 to $141Professionalmedian $162 · 10th to 90th $81 to $1,175
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $125.89 | $144.54 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $42.66 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $93.33 | $100.00 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $66.07 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $66.07 | $144.54 | $269.15 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $53.70 | $87.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $112.20 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $64.57 | $125.89 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $79.43 | Professional | 26 · Professional part | $18.62 | $29.51 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $100.00 | $186.21 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $724.44 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $54.95 | $147.91 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $50.12 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $53.70 | $104.71 | $213.80 |
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 $66.07 Median $72.44 Typical High $95.50 | Professional | 52 · Reduced service | $66.07 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $38.90 | Professional | 53 · Discontinued | $26.30 | $28.84 | $38.90 |
Where Tennessee sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 18th of 51
$162
AK $363IN $69.18
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.