How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,349 to $9,772Professionalmedian $1,778 · 10th to 90th $1,096 to $9,772
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 $1,905.46 Median $5,248.07 Typical High $14,454.40 | Facility | None | $1,905.46 | $5,248.07 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,202.26 Typical High $4,570.88 | Professional | None (both parts) | $1,096.48 | $1,202.26 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $316.23 Typical High $380.19 | Professional | 26 · Professional part | $288.40 | $316.23 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $851.14 Typical High $1,071.52 | Professional | TC · Technical part | $812.83 | $851.14 | $1,071.52 |
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 $1,288.25 Median $4,786.30 Typical High $11,748.98 | Professional | None (both parts) | $1,288.25 | $4,786.30 | $11,748.98 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $457.09 Typical High $691.83 | Professional | 26 · Professional part | $346.74 | $457.09 | $691.83 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,071.52 Typical High $1,621.81 | Professional | TC · Technical part | $831.76 | $1,071.52 | $1,621.81 |
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 $1,023.29 Median $1,548.82 Typical High $2,344.23 | Professional | None (both parts) | $1,023.29 | $1,548.82 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $457.09 Typical High $645.65 | Professional | 26 · Professional part | $281.84 | $457.09 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,096.48 Typical High $1,659.59 | Professional | TC · Technical part | $741.31 | $1,096.48 | $1,659.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,585.78 Median $9,772.37 Typical High $9,772.37 | Professional | None (both parts) | $7,585.78 | $9,772.37 | $9,772.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,905.46 Median $2,630.27 Typical High $2,630.27 | Professional | 26 · Professional part | $1,905.46 | $2,630.27 | $2,630.27 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,623.41 Median $7,079.46 Typical High $7,079.46 | Professional | TC · Technical part | $5,623.41 | $7,079.46 | $7,079.46 |
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 $1,071.52 Median $1,479.11 Typical High $2,511.89 | Professional | None (both parts) | $1,071.52 | $1,479.11 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $467.74 Typical High $691.83 | Professional | 26 · Professional part | $302.00 | $467.74 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,071.52 Typical High $1,778.28 | Professional | TC · Technical part | $758.58 | $1,071.52 | $1,778.28 |
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 $831.76 Median $851.14 Typical High $1,096.48 | Professional | 54 · Surgery only | $831.76 | $851.14 | $1,096.48 |
Where Tennessee sits
The same service costs 4.0 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· 8th of 51
$2,570
WI $4,467NY $1,122
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.