How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,318 to $9,333Professionalmedian $1,288 · 10th to 90th $813 to $7,413
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $912.01 Median $2,818.38 Typical High $12,302.69 | Facility | None | $912.01 | $2,818.38 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $912.01 Typical High $2,818.38 | Professional | None (both parts) | $812.83 | $912.01 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $131.83 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $776.25 Typical High $1,202.26 | Professional | TC · Technical part | $691.83 | $776.25 | $1,202.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $158.49 | $269.15 |
BCBS Tennessee Setting Facility Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $5,248.07 | Facility | None | $1,202.26 | $2,290.87 | $5,248.07 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $870.96 Median $3,715.35 Typical High $11,220.18 | Professional | None (both parts) | $870.96 | $3,715.35 | $11,220.18 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $281.84 | Professional | 26 · Professional part | $144.54 | $186.21 | $281.84 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $891.25 Typical High $1,348.96 | Professional | TC · Technical part | $660.69 | $891.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $15,488.17 | Facility | None | $1,862.09 | $2,454.71 | $15,488.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,122.02 Typical High $1,659.59 | Professional | None (both parts) | $758.58 | $1,122.02 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $117.49 | $190.55 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $933.25 Typical High $1,380.38 | Professional | TC · Technical part | $645.65 | $933.25 | $1,380.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $7,413.10 Typical High $7,413.10 | Professional | None (both parts) | $5,888.44 | $7,413.10 | $7,413.10 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $1,096.48 Typical High $1,096.48 | Professional | 26 · Professional part | $812.83 | $1,096.48 | $1,096.48 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $6,309.57 Typical High $6,309.57 | Professional | TC · Technical part | $5,011.87 | $6,309.57 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,897.79 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,897.79 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,047.13 Typical High $1,819.70 | Professional | None (both parts) | $741.31 | $1,047.13 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $125.89 | $199.53 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $870.96 Typical High $1,513.56 | Professional | TC · Technical part | $602.56 | $870.96 | $1,513.56 |
1 more rate 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 54 · Surgery only Typical Low $616.60 Median $630.96 Typical High $812.83 | Professional | 54 · Surgery only | $616.60 | $630.96 | $812.83 |
Where Tennessee sits
The same service costs 4.3 times more in Wisconsin 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· 6th of 51
$2,138
WI $3,467NY $813
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.