How much rates vary
Facilitymedian $661 · 10th to 90th $115 to $15,849Professionalmedian $288 · 10th to 90th $129 to $3,631
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 $165.96 Median $3,981.07 Typical High $30,199.52 | Facility | None | $165.96 | $3,981.07 | $30,199.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $151.36 | $165.96 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $112.20 | $125.89 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $64.57 | Professional | TC · Technical part | $37.15 | $40.74 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $295.12 | Professional | 26 · Professional part | $44.67 | $44.67 | $295.12 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $229.09 | $288.40 | $467.74 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $204.17 Typical High $331.13 | Professional | 26 · Professional part | $141.25 | $204.17 | $331.13 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $134.90 | $208.93 |
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 $79.43 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $79.43 | $199.53 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $60.26 | $147.91 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $47.86 Typical High $107.15 | Professional | TC · Technical part | $19.50 | $47.86 | $107.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 26 · Professional part | $1,380.38 | $1,380.38 | $1,380.38 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | TC · Technical part | $3,548.13 | $3,548.13 | $3,548.13 |
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 $239.88 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $239.88 | $398.11 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $199.53 Typical High $309.03 | Professional | 26 · Professional part | $141.25 | $199.53 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $89.13 | $158.49 | $323.59 |
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 $74.13 Median $77.62 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $30.90 | $39.81 |
Where Tennessee sits
The same service costs 4.8 times more in Nebraska 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· 17th of 51
$339
NE $724SC $151
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.