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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $81.28 | Professional | None (both parts) | $57.54 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $23.44 | Professional | TC · Technical part | $16.22 | $17.38 | $23.44 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $128.82 | Professional | None (both parts) | $51.29 | $63.10 | $128.82 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $47.86 | $93.33 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $17.78 Typical High $36.31 | Professional | TC · Technical part | $15.85 | $17.78 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $177.83 | Facility | None | $100.00 | $120.23 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $138.04 | Professional | None (both parts) | $60.26 | $64.57 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $46.77 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $18.62 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $18.62 | $39.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $407.38 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $281.84 | $354.81 | $354.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $125.89 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $138.04 | Professional | None (both parts) | $57.54 | $72.44 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $52.48 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.42 Typical High $41.69 | Professional | TC · Technical part | $15.85 | $20.42 | $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 $28.84 Median $30.20 Typical High $39.81 | Professional | 52 · Reduced service | $28.84 | $30.20 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $15.85 | Professional | 53 · Discontinued | $11.75 | $12.30 | $15.85 |
Where Tennessee sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 27th of 51
$70.79
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.