How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,349 to $9,772Professionalmedian $1,738 · 10th to 90th $1,072 to $9,550
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 $1,819.70 Median $5,011.87 Typical High $12,302.69 | Facility | None | $1,819.70 | $5,011.87 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,202.26 Typical High $4,570.88 | Professional | None (both parts) | $1,071.52 | $1,202.26 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $309.03 Typical High $537.03 | Professional | 26 · Professional part | $281.84 | $309.03 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $891.25 Typical High $1,380.38 | Professional | TC · Technical part | $794.33 | $891.25 | $1,380.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $602.56 | Professional | 26 · Professional part | $257.04 | $257.04 | $602.56 |
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 $1,258.93 Median $3,715.35 Typical High $11,220.18 | Professional | None (both parts) | $1,258.93 | $3,715.35 | $11,220.18 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $446.68 Typical High $676.08 | Professional | 26 · Professional part | $338.84 | $446.68 | $676.08 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,071.52 Typical High $1,584.89 | Professional | TC · Technical part | $831.76 | $1,071.52 | $1,584.89 |
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 $1,000.00 Median $1,513.56 Typical High $2,290.87 | Professional | None (both parts) | $1,000.00 | $1,513.56 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $446.68 Typical High $645.65 | Professional | 26 · Professional part | $275.42 | $446.68 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,071.52 Typical High $1,659.59 | Professional | TC · Technical part | $724.44 | $1,071.52 | $1,659.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,413.10 Median $9,549.93 Typical High $9,549.93 | Professional | None (both parts) | $7,413.10 | $9,549.93 | $9,549.93 |
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 $6,918.31 Typical High $6,918.31 | Professional | TC · Technical part | $5,623.41 | $6,918.31 | $6,918.31 |
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 $1,047.13 Median $1,479.11 Typical High $2,454.71 | Professional | None (both parts) | $1,047.13 | $1,479.11 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $457.09 Typical High $691.83 | Professional | 26 · Professional part | $302.00 | $457.09 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,047.13 Typical High $1,778.28 | Professional | TC · Technical part | $741.31 | $1,047.13 | $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 $812.83 Median $831.76 Typical High $1,071.52 | Professional | 54 · Surgery only | $812.83 | $831.76 | $1,071.52 |
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· 9th of 51
$2,455
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.