How much rates vary
Facilitymedian $437 · 10th to 90th $117 to $4,677Professionalmedian $182 · 10th to 90th $115 to $1,820
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 $123.03 Median $4,677.35 Typical High $4,677.35 | Facility | None | $123.03 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $120.23 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $36.31 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $85.11 | $89.13 | $169.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $128.82 | $190.55 | $269.15 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $48.98 | $70.79 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $147.91 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $436.52 | Facility | None | $117.49 | $208.93 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $389.05 | Professional | None (both parts) | $91.20 | $151.36 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $42.66 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $63.10 | $109.65 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 26 · Professional part | $1,258.93 | $1,258.93 | $1,258.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $125.89 | $177.83 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $41.69 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $131.83 | $275.42 |
4 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 $60.26 Median $63.10 Typical High $109.65 | Professional | 52 · Reduced service | $60.26 | $63.10 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.12 Typical High $43.65 | Professional | 53 · Discontinued | $23.99 | $25.12 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $19.05 Typical High $33.11 | Professional | 55 · Aftercare only | $18.20 | $19.05 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.59 Typical High $21.88 | Professional | 56 · Pre-op care only | $12.02 | $12.59 | $21.88 |
Where Tennessee sits
The same service costs 3.2 times more in Kansas 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· 25th of 51
$182
KS $324UT $100
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.