How much rates vary
Facilitymedian $646 · 10th to 90th $380 to $4,677Professionalmedian $501 · 10th to 90th $269 to $2,570
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 $446.68 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $446.68 | $467.74 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $120.23 | $125.89 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $426.58 | $436.52 | $724.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $177.83 | $275.42 | $275.42 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $275.42 | $338.84 | $562.34 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $165.96 Typical High $275.42 | Professional | 26 · Professional part | $134.90 | $165.96 | $275.42 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $181.97 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $741.31 | Facility | None | $380.19 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $223.87 | $331.13 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $165.96 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $154.88 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,137.96 | $2,570.40 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,023.29 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,041.74 Typical High $2,041.74 | Professional | TC · Technical part | $1,548.82 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $575.44 Typical High $1,148.15 | Professional | None (both parts) | $363.08 | $575.44 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $281.84 | Professional | 26 · Professional part | $120.23 | $154.88 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $891.25 | Professional | TC · Technical part | $190.55 | $436.52 | $891.25 |
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 $223.87 Median $234.42 Typical High $371.54 | Professional | 52 · Reduced service | $223.87 | $234.42 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $93.33 Typical High $147.91 | Professional | 53 · Discontinued | $89.13 | $93.33 | $147.91 |
Where Tennessee sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 24th of 51
$501
AK $1,000WA $324
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.