How much rates vary
Facilitymedian $1,698 · 10th to 90th $513 to $15,136Professionalmedian $204 · 10th to 90th $112 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 $2,630.27 Median $4,265.80 Typical High $30,199.52 | Facility | None | $2,630.27 | $4,265.80 | $30,199.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $144.54 | $162.18 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $109.65 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $39.81 | $41.69 | $52.48 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $38.02 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $38.02 | $181.97 | $295.12 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $251.19 | Professional | 26 · Professional part | $125.89 | $165.96 | $251.19 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $60.26 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $12,589.25 | Facility | None | $512.86 | $794.33 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $141.25 | $218.78 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $102.33 | $158.49 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $58.88 | $89.13 |
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 $707.95 Median $707.95 Typical High $954.99 | Professional | 26 · Professional part | $707.95 | $707.95 | $954.99 |
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 $147.91 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $147.91 | $208.93 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $109.65 | $154.88 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $56.23 | $102.33 |
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 $72.44 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $72.44 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $29.51 | $30.20 | $38.90 |
Where Tennessee sits
The same service costs 8.3 times more in Louisiana 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· 10th of 51
$372
LA $1,288HI $155
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.