How much rates vary
Facilitymedian $5,754 · 10th to 90th $513 to $15,136Professionalmedian $407 · 10th to 90th $219 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 $275.42 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $275.42 | $302.00 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $223.87 Typical High $288.40 | Professional | 26 · Professional part | $218.78 | $223.87 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $60.26 | $77.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $69.18 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $69.18 | $371.54 | $602.56 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $346.74 Typical High $512.86 | Professional | 26 · Professional part | $263.03 | $346.74 | $512.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $109.65 | $165.96 |
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 $269.15 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $269.15 | $436.52 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $346.74 Typical High $489.78 | Professional | 26 · Professional part | $213.80 | $346.74 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $93.33 | $131.83 |
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,344.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | TC · Technical part | $12,302.69 | $12,302.69 | $12,302.69 |
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 $302.00 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $302.00 | $446.68 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $346.74 Typical High $524.81 | Professional | 26 · Professional part | $229.09 | $346.74 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $100.00 | $181.97 |
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 $138.04 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $72.44 | Professional | 53 · Discontinued | $54.95 | $57.54 | $72.44 |
Where Tennessee sits
The same service costs 9.5 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· 19th of 51
$603
LA $3,090NY $324
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.