How much rates vary
Facilitymedian $162 · 10th to 90th $89 to $1,202Professionalmedian $316 · 10th to 90th $182 to $6,026
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 $181.97 Median $204.17 Typical High $17,782.79 | Facility | None | $181.97 | $204.17 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $181.97 | $204.17 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $72.44 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $128.82 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $114.82 | $158.49 |
BCBS Tennessee Setting Facility Modifier None Typical Low $50.12 Median $125.89 Typical High $208.93 | Facility | None | $50.12 | $125.89 | $208.93 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $275.42 | $346.74 | $549.54 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $100.00 | $128.82 | $199.53 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $223.87 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $177.83 | $309.03 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $112.20 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $194.98 | $288.40 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None (both parts) | $6,025.60 | $6,025.60 | $6,025.60 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | 26 · Professional part | $812.83 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | TC · Technical part | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $1,778.28 | Facility | None | $107.15 | $436.52 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $234.42 | $331.13 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $112.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $117.49 | $208.93 | $407.38 |
2 more rates 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 52 · Reduced service Typical Low $91.20 Median $95.50 Typical High $125.89 | Professional | 52 · Reduced service | $91.20 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $50.12 | Professional | 53 · Discontinued | $36.31 | $38.02 | $50.12 |
Where Tennessee sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 36th of 51
$282
WI $776OR $182
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.