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 $58.88 Median $58.88 Typical High $4,677.35 | Facility | None | $58.88 | $58.88 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $43.65 | Professional | None | $22.91 | $23.99 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.02 Typical High $16.60 | Professional | 52 · Reduced service | $11.48 | $12.02 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.79 Typical High $7.76 | Professional | 53 · Discontinued | $4.57 | $4.79 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $33.88 | Professional | None | $18.62 | $26.30 | $33.88 |
BCBS Tennessee Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $45.71 | Professional | None | $23.99 | $30.90 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $44.67 | Professional | None | $17.38 | $28.18 | $44.67 |
Lucent Health Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None | $151.36 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $51.29 | Professional | None | $22.39 | $28.18 | $51.29 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | 59 · Distinct service | $20.42 | $20.42 | $20.42 |
Where Tennessee sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 21st of 51
$31.62
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.