How much rates vary
Facilitymedian $457 · 10th to 90th $263 to $832Professionalmedian $295 · 10th to 90th $209 to $2,042
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 $229.09 Median $389.05 Typical High $1,479.11 | Facility | None | $229.09 | $389.05 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $223.87 | $245.47 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $38.02 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $190.55 | $204.17 | $346.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $173.78 | $218.78 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $38.02 | $67.61 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | TC · Technical part | $218.78 | $218.78 | $275.42 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $199.53 | $275.42 | $478.63 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $42.66 | $75.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $181.97 | $239.88 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $776.25 | Facility | None | $331.13 | $457.09 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $213.80 | $234.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $35.48 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $199.53 | $407.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $2,041.74 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $2,041.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Professional | TC · Technical part | $1,737.80 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $218.78 | $275.42 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $39.81 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $194.98 | $245.47 | $416.87 |
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 $112.20 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $112.20 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $46.77 Typical High $63.10 | Professional | 53 · Discontinued | $44.67 | $46.77 | $63.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | 59 · Distinct service | $173.78 | $173.78 | $186.21 |
Where Tennessee sits
The same service costs 3.2 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· 22nd of 51
$295
AK $603UT $191
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.