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 $162.18 Median $4,677.35 Typical High $4,677.35 | Facility | None | $162.18 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $162.18 | $169.82 | $229.09 |
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 $77.62 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $81.28 | $134.90 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $234.42 | $295.12 | $489.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $117.49 | $190.55 |
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 Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $158.49 | $229.09 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $114.82 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $75.86 | $109.65 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | 26 · Professional part | $549.54 | $549.54 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $229.09 | $281.84 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $104.71 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $141.25 | $177.83 | $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 $79.43 Median $85.11 Typical High $112.20 | Professional | 52 · Reduced service | $79.43 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $44.67 | Professional | 53 · Discontinued | $32.36 | $33.88 | $44.67 |
Where Tennessee sits
The same service costs 3.1 times more in Alaska than in New York. 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· 17th of 51
$295
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.