How much rates vary
Facilitymedian $1,698 · 10th to 90th $513 to $15,136Professionalmedian $282 · 10th to 90th $155 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 $204.17 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $204.17 | $223.87 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $154.88 Typical High $194.98 | Professional | 26 · Professional part | $147.91 | $154.88 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $54.95 | $58.88 | $74.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $56.23 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $56.23 | $263.03 | $416.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $234.42 Typical High $354.81 | Professional | 26 · Professional part | $177.83 | $234.42 | $354.81 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $87.10 | $134.90 |
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 $194.98 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $194.98 | $302.00 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $223.87 Typical High $331.13 | Professional | 26 · Professional part | $141.25 | $223.87 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $52.48 | $81.28 | $123.03 |
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 $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | 26 · Professional part | $1,023.29 | $1,023.29 | $1,348.96 |
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 $213.80 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $213.80 | $295.12 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $354.81 | Professional | 26 · Professional part | $151.36 | $218.78 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $81.28 | $151.36 |
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 $102.33 Median $104.71 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $53.70 | Professional | 53 · Discontinued | $40.74 | $41.69 | $53.70 |
Where Tennessee sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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· 11th of 51
$468
LA $1,288AL $224
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.