How much rates vary
Facilitymedian $263 · 10th to 90th $27 to $4,677Professionalmedian $33 · 10th to 90th $23 to $646
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 $26.92 Median $263.03 Typical High $4,677.35 | Facility | None | $26.92 | $263.03 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.92 Typical High $48.98 | Professional | None (both parts) | $23.99 | $26.92 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $7.59 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.05 Typical High $35.48 | Professional | TC · Technical part | $17.38 | $19.05 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $41.69 | Professional | None (both parts) | $18.62 | $18.62 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $13.49 | Professional | 26 · Professional part | $5.62 | $5.62 | $13.49 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $51.29 | Professional | None (both parts) | $25.12 | $32.36 | $51.29 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $9.33 | $15.14 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $23.44 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $22.91 | $33.11 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.12 Typical High $14.45 | Professional | 26 · Professional part | $6.61 | $9.12 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $51.29 | Professional | TC · Technical part | $16.22 | $22.91 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $154.88 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $63.10 | Professional | None (both parts) | $24.55 | $30.90 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $8.32 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $50.12 | Professional | TC · Technical part | $16.98 | $21.88 | $50.12 |
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 $11.75 Median $12.59 Typical High $19.50 | Professional | 52 · Reduced service | $11.75 | $12.59 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.01 Typical High $7.94 | Professional | 53 · Discontinued | $4.79 | $5.01 | $7.94 |
Where Tennessee sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 34th of 51
$33.11
MN $69.18MD $25.70
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.