How much rates vary
Facilitymedian $479 · 10th to 90th $331 to $1,000Professionalmedian $302 · 10th to 90th $224 to $2,188
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 $239.88 Median $1,479.11 Typical High $1,479.11 | Facility | None | $239.88 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $234.42 | $245.47 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $36.31 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $199.53 | $213.80 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $251.19 | $251.19 | $309.03 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $208.93 | $275.42 | $489.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $42.66 | $75.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $239.88 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $812.83 | Facility | None | $331.13 | $478.63 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $223.87 | $245.47 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $37.15 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $186.21 | $204.17 | $398.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,621.81 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $234.42 | $316.23 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,380.38 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $234.42 | $275.42 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $234.42 | $436.52 |
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 $117.49 Median $123.03 Typical High $165.96 | Professional | 52 · Reduced service | $117.49 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $66.07 | Professional | 53 · Discontinued | $46.77 | $48.98 | $66.07 |
Where Tennessee sits
The same service costs 3.1 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· 21st of 51
$309
AK $631UT $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.