How much rates vary
Facilitymedian $166 · 10th to 90th $91 to $1,585Professionalmedian $224 · 10th to 90th $145 to $2,570
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $162.18 Median $2,818.38 Typical High $7,585.78 | Facility | None | $162.18 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $144.54 | $162.18 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $69.18 | $75.86 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $85.11 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $63.10 | $63.10 | $104.71 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $125.89 Typical High $208.93 | Facility | None | $50.12 | $125.89 | $208.93 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $186.21 | $239.88 | $371.54 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $107.15 | $162.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $120.23 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $141.25 | $213.80 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $102.33 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $114.82 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $1,202.26 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $154.88 | $213.80 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $102.33 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $117.49 | $218.78 |
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 $72.44 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $72.44 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $38.02 | Professional | 53 · Discontinued | $28.84 | $30.20 | $38.02 |
Where Tennessee sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 31st of 51
$209
WI $562HI $132
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.