How much rates vary
Facilitymedian $162 · 10th to 90th $120 to $513Professionalmedian $170 · 10th to 90th $107 to $1,096
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 $1,479.11 Typical High $1,479.11 | Facility | None | $112.20 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $109.65 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $58.88 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $54.95 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $81.28 | $95.50 | $95.50 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $95.50 | $138.04 | $257.04 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $69.18 | $123.03 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $70.79 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $234.42 | Facility | None | $120.23 | $151.36 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $107.15 | $123.03 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $162.18 | Professional | TC · Technical part | $52.48 | $54.95 | $162.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,071.52 | $1,096.48 | $1,096.48 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | 26 · Professional part | $371.54 | $371.54 | $501.19 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $707.95 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $112.20 | $162.18 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $67.61 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $83.18 | $141.25 |
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 4.6 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
$170
AK $316UT $69.18
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.