How much rates vary
Facilitymedian $479 · 10th to 90th $282 to $912Professionalmedian $355 · 10th to 90th $251 to $2,455
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 $257.04 Median $389.05 Typical High $1,479.11 | Facility | None | $257.04 | $389.05 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $245.47 | $275.42 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $57.54 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $218.78 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $190.55 | $199.53 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $56.23 | $91.20 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $239.88 | $309.03 | $562.34 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $69.18 | $128.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $263.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $794.33 | Facility | None | $331.13 | $478.63 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $257.04 | $275.42 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $56.23 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $204.17 | $426.58 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,238.72 | $2,454.71 | $2,454.71 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $478.63 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Professional | TC · Technical part | $1,819.70 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $257.04 | $338.84 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $81.28 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $257.04 | $436.52 |
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 $123.03 Median $128.82 Typical High $169.82 | Professional | 52 · Reduced service | $123.03 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $48.98 | $51.29 | $69.18 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 59 · Distinct service | $190.55 | $190.55 | $190.55 |
Where Tennessee sits
The same service costs 3.3 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· 18th of 51
$363
MN $676UT $204
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.