How much rates vary
Facilitymedian $224 · 10th to 90th $129 to $427Professionalmedian $148 · 10th to 90th $105 to $1,072
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 $112.20 Median $186.21 Typical High $1,479.11 | Facility | None | $112.20 | $186.21 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $199.53 | Professional | None (both parts) | $112.20 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $20.42 | $22.39 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $100.00 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $85.11 | $107.15 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $35.48 | Professional | 26 · Professional part | $15.49 | $20.89 | $35.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $69.18 | $165.96 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $95.50 | $131.83 | $234.42 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $25.12 | $43.65 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $85.11 | $112.20 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $371.54 | Facility | None | $162.18 | $223.87 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $245.47 | Professional | None (both parts) | $107.15 | $114.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $21.88 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $91.20 | $194.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,000.00 | $1,071.52 | $1,071.52 |
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 $831.76 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $831.76 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $109.65 | $144.54 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $24.55 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $117.49 | $199.53 |
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 $54.95 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $22.91 | $30.20 |
Where Tennessee sits
The same service costs 4.0 times more in Minnesota 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· 27th of 51
$148
MN $380UT $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.