How much rates vary
Facilitymedian $229 · 10th to 90th $178 to $513Professionalmedian $162 · 10th to 90th $112 to $1,072
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 $117.49 Median $1,479.11 Typical High $1,479.11 | Facility | None | $117.49 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $114.82 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $23.44 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $97.72 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $95.50 | $95.50 | $134.90 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $102.33 | $144.54 | $257.04 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $26.30 | $45.71 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $123.03 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $389.05 | Facility | None | $177.83 | $229.09 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $112.20 | $123.03 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $42.66 | Professional | 26 · Professional part | $21.38 | $22.91 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $208.93 | Professional | TC · Technical part | $91.20 | $95.50 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $870.96 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $117.49 | $147.91 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $25.70 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $125.89 | $218.78 |
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 $57.54 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $57.54 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $23.99 | $32.36 |
Where Tennessee sits
The same service costs 3.3 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· 24th of 51
$166
AK $316UT $95.50
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.