How much rates vary
Facilitymedian $1,778 · 10th to 90th $513 to $15,136Professionalmedian $245 · 10th to 90th $135 to $12,882
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 $2,454.71 Median $4,570.88 Typical High $30,199.52 | Facility | None | $2,454.71 | $4,570.88 | $30,199.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $2,818.38 | Professional | None (both parts) | $177.83 | $194.98 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $70.79 | $91.20 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $69.18 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $69.18 | $223.87 | $363.08 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | 26 · Professional part | $128.82 | $165.96 | $257.04 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $109.65 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $10,232.93 | Facility | None | $512.86 | $512.86 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $169.82 | $263.03 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $158.49 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $158.49 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $102.33 | $154.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None (both parts) | $12,882.50 | $12,882.50 | $12,882.50 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $758.58 Typical High $977.24 | Professional | 26 · Professional part | $758.58 | $758.58 | $977.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | TC · Technical part | $12,589.25 | $12,589.25 | $12,589.25 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,548.82 Typical High $15,135.61 | Facility | None | $512.86 | $1,548.82 | $15,135.61 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $177.83 | $251.19 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $154.88 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $154.88 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $97.72 | $186.21 |
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 $89.13 Median $91.20 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $35.48 | $36.31 | $46.77 |
Where Tennessee sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 14th of 51
$437
OK $4,786HI $158
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.