How much rates vary
Facilitymedian $275 · 10th to 90th $141 to $525Professionalmedian $178 · 10th to 90th $117 to $1,259
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 $354.81 Typical High $1,479.11 | Facility | None | $117.49 | $354.81 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $117.49 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $23.99 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $104.71 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $87.10 | $128.82 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $16.98 | $21.38 | $37.15 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $117.49 | $162.18 | $288.40 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $26.30 | $46.77 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $138.04 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $457.09 | Facility | None | $162.18 | $275.42 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $128.82 | $141.25 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $21.88 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $117.49 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,122.02 | $1,258.93 | $1,258.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $245.47 | $245.47 | $245.47 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $933.25 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $134.90 | $165.96 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $25.12 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $144.54 | $251.19 |
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 $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $58.88 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $23.99 | $32.36 |
Where Tennessee sits
The same service costs 3.7 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
$182
AK $355UT $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.