How much rates vary
Facilitymedian $229 · 10th to 90th $141 to $447Professionalmedian $158 · 10th to 90th $112 to $1,047
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 $234.42 Typical High $1,479.11 | Facility | None | $117.49 | $234.42 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $114.82 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $23.44 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $93.33 | $102.33 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $89.13 | $93.33 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $38.02 | Professional | 26 · Professional part | $17.38 | $18.20 | $38.02 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $60.26 | $70.79 | $70.79 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $109.65 | $144.54 | $257.04 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $25.12 | $44.67 |
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 $162.18 Median $229.09 Typical High $380.19 | Facility | None | $162.18 | $229.09 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $112.20 | $123.03 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $17.38 | $21.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $95.50 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $851.14 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $117.49 | $144.54 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $48.98 | Professional | 26 · Professional part | $16.60 | $23.99 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $125.89 | $213.80 |
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 $31.62 | Professional | 53 · Discontinued | $22.91 | $23.99 | $31.62 |
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· 24th of 51
$158
AK $302UT $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.