How much rates vary
Facilitymedian $646 · 10th to 90th $282 to $4,677Professionalmedian $288 · 10th to 90th $200 to $1,905
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 $263.03 Median $4,677.35 Typical High $4,677.35 | Facility | None | $263.03 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $208.93 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $61.66 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $158.49 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $426.58 | Professional | None (both parts) | $162.18 | $162.18 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $46.77 | $120.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $199.53 | $275.42 | $446.68 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $81.28 | $131.83 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $151.36 | $199.53 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $741.31 | Facility | None | $398.11 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $199.53 | $257.04 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $77.62 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $181.97 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,905.46 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $501.19 | $512.86 | $512.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $199.53 | $245.47 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $72.44 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $138.04 | $173.78 | $331.13 |
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 $104.71 Median $109.65 Typical High $169.82 | Professional | 52 · Reduced service | $104.71 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $67.61 | Professional | 53 · Discontinued | $41.69 | $43.65 | $67.61 |
Where Tennessee sits
The same service costs 3.5 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· 25th of 51
$288
AK $562UT $158
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.