How much rates vary
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 $2,344.23 Median $5,888.44 Typical High $16,218.10 | Facility | None | $2,344.23 | $5,888.44 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $954.99 Typical High $4,570.88 | Professional | None (both parts) | $870.96 | $954.99 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $239.88 Typical High $363.08 | Professional | 26 · Professional part | $213.80 | $239.88 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $707.95 Typical High $1,096.48 | Professional | TC · Technical part | $645.65 | $707.95 | $1,096.48 |
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 $977.24 Median $3,715.35 Typical High $11,220.18 | Professional | None (both parts) | $977.24 | $3,715.35 | $11,220.18 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $338.84 Typical High $512.86 | Professional | 26 · Professional part | $263.03 | $338.84 | $512.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $851.14 Typical High $1,288.25 | Professional | TC · Technical part | $645.65 | $851.14 | $1,288.25 |
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 $794.33 Median $1,202.26 Typical High $1,819.70 | Professional | None (both parts) | $794.33 | $1,202.26 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $338.84 Typical High $489.78 | Professional | 26 · Professional part | $208.93 | $338.84 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $870.96 Typical High $1,318.26 | Professional | TC · Technical part | $588.84 | $870.96 | $1,318.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $6,025.60 | $7,585.78 | $7,585.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,445.44 Median $1,995.26 Typical High $1,995.26 | Professional | 26 · Professional part | $1,445.44 | $1,995.26 | $1,995.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,570.88 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $4,570.88 | $5,623.41 | $5,623.41 |
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 $812.83 Median $1,148.15 Typical High $1,949.84 | Professional | None (both parts) | $812.83 | $1,148.15 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $346.74 Typical High $524.81 | Professional | 26 · Professional part | $229.09 | $346.74 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $831.76 Typical High $1,380.38 | Professional | TC · Technical part | $588.84 | $831.76 | $1,380.38 |
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 $645.65 Median $660.69 Typical High $851.14 | Professional | 54 · Surgery only | $645.65 | $660.69 | $851.14 |
Where Tennessee sits
The same service costs 4.2 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· 4th of 51
$2,399
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.