How much rates vary
Facilitymedian $741 · 10th to 90th $117 to $15,136Professionalmedian $2,344 · 10th to 90th $141 to $13,490
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 $141.25 Median $154.88 Typical High $2,818.38 | Professional | None (both parts) | $141.25 | $154.88 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $107.15 | $117.49 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $33.88 | $37.15 | $57.54 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $3,019.95 Typical High $4,897.79 | Professional | None (both parts) | $2,344.23 | $3,019.95 | $4,897.79 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $251.19 | Professional | 26 · Professional part | $128.82 | $165.96 | $251.19 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $3,548.13 Typical High $5,370.32 | Professional | TC · Technical part | $2,754.23 | $3,548.13 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $10,471.29 Typical High $15,848.93 | Facility | None | $10,232.93 | $10,471.29 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $95.50 | $190.55 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $144.54 Typical High $234.42 | Professional | 26 · Professional part | $72.44 | $144.54 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $23.44 | $45.71 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,022.64 Median $13,489.63 Typical High $13,489.63 | Professional | None (both parts) | $12,022.64 | $13,489.63 | $13,489.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | 26 · Professional part | $6,165.95 | $6,165.95 | $6,165.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,022.64 Median $12,882.50 Typical High $12,882.50 | Professional | TC · Technical part | $12,022.64 | $12,882.50 | $12,882.50 |
United Setting Facility Modifier None Typical Low $107.15 Median $616.60 Typical High $15,135.61 | Facility | None | $107.15 | $616.60 | $15,135.61 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $2,754.23 Typical High $4,786.30 | Professional | None (both parts) | $173.78 | $2,754.23 | $4,786.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $234.42 | Professional | 26 · Professional part | $112.20 | $173.78 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $2,511.89 Typical High $4,570.88 | Professional | TC · Technical part | $42.66 | $2,511.89 | $4,570.88 |
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 $70.79 Median $72.44 Typical High $93.33 | Professional | 52 · Reduced service | $70.79 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $37.15 | Professional | 53 · Discontinued | $28.18 | $28.84 | $37.15 |
Where Tennessee sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 1st of 51
$2,344
TN $2,344SC $126
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.