How much rates vary
Facilitymedian $759 · 10th to 90th $117 to $15,136Professionalmedian $324 · 10th to 90th $158 to $12,023
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 $204.17 Median $229.09 Typical High $2,818.38 | Professional | None (both parts) | $204.17 | $229.09 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $154.88 | $173.78 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $54.95 | $74.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $52.48 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $52.48 | $263.03 | $416.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $245.47 Typical High $371.54 | Professional | 26 · Professional part | $190.55 | $245.47 | $371.54 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $77.62 | $117.49 |
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 $199.53 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $199.53 | $309.03 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $234.42 Typical High $354.81 | Professional | 26 · Professional part | $151.36 | $234.42 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $47.86 | $75.86 | $147.91 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None (both parts) | $12,022.64 | $12,022.64 | $12,022.64 |
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 $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 $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 $218.78 Median $478.63 Typical High $2,884.03 | Professional | None (both parts) | $218.78 | $478.63 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $251.19 Typical High $371.54 | Professional | 26 · Professional part | $154.88 | $251.19 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $114.82 Typical High $2,570.40 | Professional | TC · Technical part | $52.48 | $114.82 | $2,570.40 |
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 $107.15 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $42.66 | $53.70 |
Where Tennessee sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 24th of 51
$363
WI $1,047MD $229
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.