How much rates vary
Facilitymedian $263 · 10th to 90th $22 to $4,677Professionalmedian $37 · 10th to 90th $21 to $724
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 $22.39 Median $263.03 Typical High $4,677.35 | Facility | None | $22.39 | $263.03 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $45.71 | Professional | None (both parts) | $22.39 | $24.55 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.31 Typical High $5.75 | Professional | 26 · Professional part | $3.02 | $3.31 | $5.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $21.38 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $40.74 | Professional | None (both parts) | $17.38 | $17.38 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $2.75 Typical High $5.62 | Professional | 26 · Professional part | $2.57 | $2.75 | $5.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $23.44 | $30.90 | $51.29 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.27 Typical High $7.08 | Professional | 26 · Professional part | $3.39 | $4.27 | $7.08 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $20.89 | $27.54 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $30.20 Typical High $125.89 | Professional | None (both parts) | $20.89 | $30.20 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $4.07 Typical High $6.46 | Professional | 26 · Professional part | $2.95 | $4.07 | $6.46 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.70 Typical High $102.33 | Professional | TC · Technical part | $18.20 | $25.70 | $102.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $602.56 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $181.97 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $32.36 Typical High $128.82 | Professional | None (both parts) | $21.88 | $32.36 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.89 Typical High $6.92 | Professional | 26 · Professional part | $2.95 | $3.89 | $6.92 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $120.23 | Professional | TC · Technical part | $18.62 | $26.30 | $120.23 |
3 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 $10.96 Median $11.48 Typical High $18.62 | Professional | 52 · Reduced service | $10.96 | $11.48 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.68 Typical High $7.41 | Professional | 53 · Discontinued | $4.47 | $4.68 | $7.41 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | 59 · Distinct service | $17.38 | $17.38 | $18.62 |
Where Tennessee sits
The same service costs 2.9 times more in Kansas 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· 27th of 51
$37.15
KS $74.13MD $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.