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 $21.88 Median $21.88 Typical High $28.84 | Facility | None | $21.88 | $21.88 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $45.71 | Professional | None | $28.18 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.79 Typical High $19.50 | Professional | 52 · Reduced service | $14.13 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.89 Typical High $7.76 | Professional | 53 · Discontinued | $5.62 | $5.89 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $48.98 | Professional | None | $28.84 | $30.90 | $48.98 |
BCBS Tennessee Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $35.48 | Professional | None | $20.89 | $24.55 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $173.78 | Facility | None | $81.28 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $36.31 | Professional | None | $23.99 | $23.99 | $36.31 |
Lucent Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | None | $213.80 | $213.80 | $354.81 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $34.67 | Professional | None | $18.62 | $26.30 | $34.67 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $30.90 Typical High $33.88 | Professional | 59 · Distinct service | $28.84 | $30.90 | $33.88 |
Where Tennessee sits
The same service costs 2.9 times more in North Dakota than in Kentucky. 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· 46th of 51
$28.84
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.