How much rates vary
Facilitymedian $646 · 10th to 90th $148 to $4,677Professionalmedian $195 · 10th to 90th $138 to $1,318
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 $147.91 Median $4,677.35 Typical High $4,677.35 | Facility | None | $147.91 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $144.54 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $35.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $112.20 | $117.49 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $125.89 | $181.97 | $302.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $46.77 | $75.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $141.25 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $501.19 Typical High $741.31 | Facility | None | $275.42 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $134.90 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $44.67 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $120.23 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,318.26 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 26 · Professional part | $281.84 | $281.84 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $794.33 | $794.33 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $128.82 | $158.49 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $120.23 | $234.42 |
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 $72.44 Median $75.86 Typical High $109.65 | Professional | 52 · Reduced service | $72.44 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $44.67 | Professional | 53 · Discontinued | $28.84 | $30.20 | $44.67 |
Where Tennessee sits
The same service costs 3.0 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· 23rd of 51
$200
AK $380UT $129
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.