How much rates vary
Facilitymedian $1,288 · 10th to 90th $295 to $8,710Professionalmedian $288 · 10th to 90th $182 to $1,585
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 $186.21 Median $12,022.64 Typical High $15,848.93 | Facility | None | $186.21 | $12,022.64 | $15,848.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $181.97 | $190.55 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $134.90 | $141.25 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $46.77 | $48.98 | $87.10 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $190.55 | $281.84 | $389.05 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $204.17 Typical High $295.12 | Professional | 26 · Professional part | $154.88 | $204.17 | $295.12 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $75.86 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $66.07 Typical High $15,488.17 | Facility | None | $45.71 | $66.07 | $15,488.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $144.54 | $245.47 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $177.83 Typical High $295.12 | Professional | 26 · Professional part | $107.15 | $177.83 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $60.26 Typical High $144.54 | Professional | TC · Technical part | $36.31 | $60.26 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,288.25 | $1,584.89 | $1,584.89 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $891.25 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | TC · Technical part | $457.09 | $457.09 | $512.86 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,258.93 Typical High $5,128.61 | Facility | None | $323.59 | $1,258.93 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $181.97 | $269.15 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $190.55 Typical High $316.23 | Professional | 26 · Professional part | $134.90 | $190.55 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $46.77 | $74.13 | $144.54 |
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 $91.20 Median $95.50 Typical High $158.49 | Professional | 52 · Reduced service | $91.20 | $95.50 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $63.10 | Professional | 53 · Discontinued | $36.31 | $38.02 | $63.10 |
Where Tennessee sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 20th of 51
$302
AK $468UT $132
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.