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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $16.22 Typical High $21.38 | Professional | None (both parts) | $15.14 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $12.59 | $13.18 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $3.02 Typical High $4.07 | Professional | TC · Technical part | $2.88 | $3.02 | $4.07 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $10.96 Median $13.80 Typical High $38.02 | Professional | None (both parts) | $10.96 | $13.80 | $38.02 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $9.55 | $12.02 | $15.49 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $1.38 Median $2.29 Typical High $25.70 | Professional | TC · Technical part | $1.38 | $2.29 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $194.98 Typical High $416.87 | Facility | None | $43.65 | $194.98 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.96 Median $10.96 Typical High $21.88 | Professional | None (both parts) | $10.96 | $10.96 | $21.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $8.71 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $2.19 Typical High $3.98 | Professional | TC · Technical part | $2.19 | $2.19 | $3.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $223.87 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $89.13 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $15.85 Typical High $40.74 | Professional | None (both parts) | $13.18 | $15.85 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.30 Typical High $14.79 | Professional | 26 · Professional part | $10.23 | $12.30 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $3.02 Typical High $25.12 | Professional | TC · Technical part | $2.29 | $3.02 | $25.12 |
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 $7.59 Median $7.94 Typical High $10.72 | Professional | 52 · Reduced service | $7.59 | $7.94 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.24 Typical High $4.27 | Professional | 53 · Discontinued | $3.09 | $3.24 | $4.27 |
Where Tennessee sits
The same service costs 2.6 times more in California 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· 48th of 51
$15.49
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.