How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,349 to $9,772Professionalmedian $1,950 · 10th to 90th $1,202 to $10,471
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 $5,011.87 Typical High $12,302.69 | Facility | None | $1,905.46 | $5,011.87 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,318.26 Typical High $4,570.88 | Professional | None (both parts) | $1,202.26 | $1,318.26 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $354.81 Typical High $512.86 | Professional | 26 · Professional part | $316.23 | $354.81 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $954.99 Typical High $1,412.54 | Professional | TC · Technical part | $870.96 | $954.99 | $1,412.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
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 $1,412.54 Median $3,715.35 Typical High $11,220.18 | Professional | None (both parts) | $1,412.54 | $3,715.35 | $11,220.18 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $501.19 Typical High $758.58 | Professional | 26 · Professional part | $380.19 | $501.19 | $758.58 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,202.26 Typical High $1,778.28 | Professional | TC · Technical part | $933.25 | $1,202.26 | $1,778.28 |
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 $1,096.48 Median $1,698.24 Typical High $2,511.89 | Professional | None (both parts) | $1,096.48 | $1,698.24 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $501.19 Typical High $724.44 | Professional | 26 · Professional part | $309.03 | $501.19 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,230.27 Typical High $1,819.70 | Professional | TC · Technical part | $776.25 | $1,230.27 | $1,819.70 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,128.31 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $8,128.31 | $10,471.29 | $10,471.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Professional | 26 · Professional part | $2,137.96 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,025.60 Median $7,413.10 Typical High $7,413.10 | Professional | TC · Technical part | $6,025.60 | $7,413.10 | $7,413.10 |
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 $1,174.90 Median $1,659.59 Typical High $2,691.53 | Professional | None (both parts) | $1,174.90 | $1,659.59 | $2,691.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $512.86 Typical High $776.25 | Professional | 26 · Professional part | $338.84 | $512.86 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,174.90 Typical High $1,905.46 | Professional | TC · Technical part | $851.14 | $1,174.90 | $1,905.46 |
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 $891.25 Median $912.01 Typical High $1,174.90 | Professional | 54 · Surgery only | $891.25 | $912.01 | $1,174.90 |
Where Tennessee sits
The same service costs 3.9 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
$2,630
WI $4,898NY $1,259
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.