How much rates vary
Facilitymedian $2,818 · 10th to 90th $347 to $12,589Professionalmedian $708 · 10th to 90th $501 to $5,129
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 $512.86 Median $537.03 Typical High $1,071.52 | Professional | None (both parts) | $512.86 | $537.03 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $295.12 Typical High $426.58 | Professional | 26 · Professional part | $281.84 | $295.12 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $234.42 | $245.47 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $363.08 | $416.87 | $416.87 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $575.44 Median $741.31 Typical High $1,096.48 | Professional | None (both parts) | $575.44 | $741.31 | $1,096.48 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $398.11 Typical High $588.84 | Professional | 26 · Professional part | $316.23 | $398.11 | $588.84 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $281.84 | $354.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $11,220.18 Typical High $15,488.17 | Facility | None | $10,232.93 | $11,220.18 | $15,488.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $660.69 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $346.74 Typical High $562.34 | Professional | 26 · Professional part | $218.78 | $346.74 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $186.21 | $302.00 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $5,128.61 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Professional | 26 · Professional part | $2,454.71 | $2,454.71 | $2,630.27 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | TC · Technical part | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Facility Modifier None Typical Low $331.13 Median $1,412.54 Typical High $5,128.61 | Facility | None | $331.13 | $1,412.54 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $537.03 | $660.69 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $346.74 Typical High $616.60 | Professional | 26 · Professional part | $281.84 | $346.74 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $239.88 | $302.00 | $549.54 |
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 $257.04 Median $269.15 Typical High $371.54 | Professional | 52 · Reduced service | $257.04 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $151.36 | Professional | 53 · Discontinued | $102.33 | $107.15 | $151.36 |
Where Tennessee sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 23rd of 51
$724
AK $1,288HI $437
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.