How much rates vary
Facilitymedian $155 · 10th to 90th $89 to $1,122Professionalmedian $204 · 10th to 90th $100 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 $100.00 Median $109.65 Typical High $309.03 | Facility | None | $100.00 | $109.65 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $100.00 | $109.65 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $52.48 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $51.29 | $57.54 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $89.13 | $102.33 | $144.54 |
BCBS Setting Facility Modifier None Typical Low $50.12 Median $125.89 Typical High $208.93 | Facility | None | $50.12 | $125.89 | $208.93 |
BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $199.53 | $263.03 | $407.38 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $102.33 | $158.49 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $120.23 | $158.49 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $97.72 | $169.82 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $81.28 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $50.12 | $89.13 | $141.25 |
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 $630.96 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $630.96 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | TC · Technical part | $5,888.44 | $5,888.44 | $5,888.44 |
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 $154.88 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $154.88 | $218.78 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $87.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $138.04 | $251.19 |
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 $50.12 Median $51.29 Typical High $67.61 | Professional | 52 · Reduced service | $50.12 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $20.42 | $27.54 |
Where Tennessee sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 27th of 51
$195
WI $417VA $110
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.