How much rates vary
Facilitymedian $282 · 10th to 90th $102 to $407Professionalmedian $380 · 10th to 90th $263 to $3,548
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $263.03 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $234.42 Typical High $316.23 | Professional | 26 · Professional part | $223.87 | $234.42 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $38.02 | $39.81 | $53.70 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $275.42 | $346.74 | $524.81 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $316.23 Typical High $457.09 | Professional | 26 · Professional part | $251.19 | $316.23 | $457.09 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $43.65 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $281.84 Typical High $407.38 | Facility | None | $102.33 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $208.93 | $323.59 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $177.83 | $275.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $144.54 | Professional | TC · Technical part | $33.11 | $41.69 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $2,290.87 | $3,548.13 | $3,548.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | 26 · Professional part | $1,513.56 | $1,513.56 | $1,905.46 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $2,137.96 Typical High $2,137.96 | Professional | TC · Technical part | $1,380.38 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $251.19 | $316.23 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $269.15 Typical High $501.19 | Professional | 26 · Professional part | $218.78 | $269.15 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $125.89 | Professional | TC · Technical part | $29.51 | $41.69 | $125.89 |
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 $131.83 Median $138.04 Typical High $181.97 | Professional | 52 · Reduced service | $131.83 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $52.48 | $54.95 | $72.44 |
Where Tennessee sits
The same service costs 3.3 times more in Minnesota 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· 19th of 51
$380
MN $661UT $200
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.