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 $100.00 Median $4,677.35 Typical High $4,677.35 | Facility | None | $100.00 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $97.72 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $54.95 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $45.71 | $47.86 | $89.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $104.71 | $138.04 | $199.53 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $75.86 | $107.15 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $66.07 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $436.52 | Facility | None | $158.49 | $407.38 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $83.18 | $123.03 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $66.07 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $93.33 | Professional | TC · Technical part | $41.69 | $52.48 | $93.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $977.24 | Professional | None (both parts) | $851.14 | $851.14 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $95.50 | $120.23 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $45.71 | $54.95 | $100.00 |
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 $48.98 Median $51.29 Typical High $70.79 | Professional | 52 · Reduced service | $48.98 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $20.42 | $28.18 |
Where Tennessee sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 19th of 51
$148
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.