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 $26.92 Median $4,677.35 Typical High $4,677.35 | Facility | None | $26.92 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.18 Typical High $42.66 | Professional | None (both parts) | $26.92 | $28.18 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $11.48 | $12.02 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.85 Typical High $31.62 | Professional | TC · Technical part | $15.14 | $15.85 | $31.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $28.18 | $37.15 | $53.70 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $16.22 | $23.44 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $31.62 | Professional | TC · Technical part | $17.38 | $21.88 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $53.70 Typical High $79.43 | Facility | None | $50.12 | $53.70 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $22.91 | $34.67 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $14.13 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.95 Typical High $51.29 | Professional | TC · Technical part | $13.80 | $19.95 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $72.44 | Professional | None (both parts) | $27.54 | $35.48 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $11.22 | $14.13 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.42 Typical High $50.12 | Professional | TC · Technical part | $15.85 | $20.42 | $50.12 |
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 $13.49 Median $14.13 Typical High $20.89 | Professional | 52 · Reduced service | $13.49 | $14.13 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $8.32 | Professional | 53 · Discontinued | $5.37 | $5.62 | $8.32 |
Where Tennessee sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 33rd of 51
$37.15
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.