How much rates vary
Facilitymedian $4,677 · 10th to 90th $219 to $4,677Professionalmedian $316 · 10th to 90th $214 to $1,995
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 $218.78 Median $4,677.35 Typical High $4,677.35 | Facility | None | $218.78 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $218.78 | $223.87 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $87.10 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $138.04 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $123.03 | $123.03 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $223.87 | $288.40 | $478.63 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $112.20 | $186.21 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $186.21 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $204.17 | $281.84 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $95.50 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $177.83 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,995.26 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,995.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | 26 · Professional part | $562.34 | $562.34 | $741.31 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $218.78 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $89.13 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $131.83 | $177.83 | $323.59 |
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 $107.15 Median $112.20 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $66.07 | Professional | 53 · Discontinued | $42.66 | $44.67 | $66.07 |
Where Tennessee sits
The same service costs 4.7 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· 27th of 51
$316
AK $589UT $126
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.