How much rates vary
Facilitymedian $170 · 10th to 90th $110 to $513Professionalmedian $102 · 10th to 90th $69 to $794
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 $75.86 Median $154.88 Typical High $1,479.11 | Facility | None | $75.86 | $154.88 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $75.86 | $85.11 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $11.48 | $12.88 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $70.79 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $51.29 | $64.57 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $8.71 | $12.88 | $20.89 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $69.18 | $95.50 | $165.96 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $24.55 | Professional | 26 · Professional part | $10.96 | $13.80 | $24.55 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $83.18 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $275.42 | Facility | None | $144.54 | $169.82 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $81.28 Typical High $169.82 | Professional | None (both parts) | $74.13 | $81.28 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $10.96 | $12.02 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $69.18 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $724.44 | $794.33 | $794.33 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $630.96 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $77.62 | $100.00 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $13.49 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $85.11 | $144.54 |
3 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 $37.15 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $37.15 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $15.14 | $15.85 | $20.89 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 59 · Distinct service | $60.26 | $60.26 | $67.61 |
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· 29th of 51
$105
AK $209UT $63.10
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.