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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $47.86 | Professional | None | $33.88 | $35.48 | $47.86 |
BCBS Tennessee Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $79.43 | Professional | None | $35.48 | $43.65 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $186.21 | Facility | None | $95.50 | $112.20 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $41.69 Typical High $75.86 | Professional | None | $33.88 | $41.69 | $75.86 |
Lucent Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $302.00 | Professional | None | $234.42 | $234.42 | $302.00 |
United Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $81.28 | Professional | None | $35.48 | $44.67 | $81.28 |
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 $16.98 Median $17.78 Typical High $23.99 | Professional | 52 · Reduced service | $16.98 | $17.78 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.08 Typical High $9.55 | Professional | 53 · Discontinued | $6.76 | $7.08 | $9.55 |
Where Tennessee sits
The same service costs 2.7 times more in Alaska 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· 20th of 51
$48.98
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.