How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,042 to $12,882Professionalmedian $1,202 · 10th to 90th $724 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 $1,513.56 Median $4,570.88 Typical High $19,952.62 | Facility | None | $1,513.56 | $4,570.88 | $19,952.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $2,818.38 | Professional | None (both parts) | $758.58 | $831.76 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $630.96 Typical High $1,047.13 | Professional | 26 · Professional part | $575.44 | $630.96 | $1,047.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $181.97 | $199.53 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $1,202.26 | $1,202.26 | $1,202.26 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,122.02 Typical High $1,819.70 | Professional | None (both parts) | $316.23 | $1,122.02 | $1,819.70 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $891.25 Typical High $1,348.96 | Professional | 26 · Professional part | $691.83 | $891.25 | $1,348.96 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $501.19 Typical High $758.58 | Professional | TC · Technical part | $389.05 | $501.19 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $5,888.44 Typical High $11,220.18 | Facility | None | $4,466.84 | $5,888.44 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,174.90 Typical High $1,778.28 | Professional | None (both parts) | $724.44 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $851.14 Typical High $1,288.25 | Professional | 26 · Professional part | $549.54 | $851.14 | $1,288.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $562.34 | Professional | TC · Technical part | $173.78 | $281.84 | $562.34 |
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 $3,981.07 Median $3,981.07 Typical High $5,248.07 | Professional | 26 · Professional part | $3,981.07 | $3,981.07 | $5,248.07 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | TC · Technical part | $11,748.98 | $11,748.98 | $11,748.98 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $15,135.61 | Facility | None | $1,778.28 | $6,025.60 | $15,135.61 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,318.26 Typical High $2,398.83 | Professional | None (both parts) | $933.25 | $1,318.26 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $870.96 Typical High $1,348.96 | Professional | 26 · Professional part | $602.56 | $870.96 | $1,348.96 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $478.63 Typical High $891.25 | Professional | TC · Technical part | $316.23 | $478.63 | $891.25 |
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 $380.19 Median $389.05 Typical High $501.19 | Professional | 52 · Reduced service | $380.19 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $199.53 | Professional | 53 · Discontinued | $151.36 | $154.88 | $199.53 |
Where Tennessee sits
The same service costs 5.2 times more in Louisiana than in New York. 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· 13th of 51
$2,042
LA $4,677NY $891
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.