How much rates vary
Facilitymedian $282 · 10th to 90th $148 to $832Professionalmedian $174 · 10th to 90th $120 to $1,122
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 $1,479.11 Typical High $1,479.11 | Facility | None | $117.49 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $117.49 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $21.88 | $22.91 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $97.72 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $123.03 | $123.03 | $131.83 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $120.23 | $158.49 | $281.84 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $26.92 | $47.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $138.04 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $281.84 Typical High $478.63 | Facility | None | $147.91 | $281.84 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $131.83 | $141.25 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $23.44 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $117.49 | $234.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $851.14 | $1,122.02 | $1,122.02 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $147.91 | $194.98 | $194.98 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $691.83 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $138.04 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $134.90 | $251.19 |
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 $58.88 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $58.88 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $23.99 | $32.36 |
Where Tennessee sits
The same service costs 3.8 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· 20th of 51
$178
AK $363UT $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.