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 $64.57 Median $4,677.35 Typical High $4,677.35 | Facility | None | $64.57 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $63.10 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $35.48 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $50.12 | Professional | TC · Technical part | $28.84 | $30.20 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $61.66 | $77.62 | $123.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $50.12 | $72.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $21.88 | $30.20 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $114.82 | Professional | None (both parts) | $51.29 | $70.79 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $43.65 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $24.55 | $30.90 | $54.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $457.09 | $588.84 | $588.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $229.09 | $295.12 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $229.09 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $56.23 | $69.18 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $41.69 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $27.54 | $52.48 |
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 $31.62 Median $33.11 Typical High $43.65 | Professional | 52 · Reduced service | $31.62 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $17.38 | Professional | 53 · Discontinued | $12.59 | $13.18 | $17.38 |
Where Tennessee sits
The same service costs 3.3 times more in Alaska 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
$85.11
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.