How much rates vary
Facilitymedian $302 · 10th to 90th $162 to $589Professionalmedian $204 · 10th to 90th $126 to $1,349
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 $120.23 Median $1,479.11 Typical High $1,479.11 | Facility | None | $120.23 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $117.49 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $24.55 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $93.33 | $97.72 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $131.83 | $177.83 | $323.59 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $31.62 | $52.48 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $154.88 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $524.81 | Facility | None | $162.18 | $302.00 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $134.90 | $147.91 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $26.30 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $120.23 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,230.27 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $302.00 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $933.25 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $141.25 | $186.21 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $31.62 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $151.36 | $275.42 |
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 $58.88 Median $61.66 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $61.66 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $33.11 | Professional | 53 · Discontinued | $23.99 | $24.55 | $33.11 |
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
$204
AK $407UT $117
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.