How much rates vary
Facilitymedian $282 · 10th to 90th $151 to $575Professionalmedian $166 · 10th to 90th $120 to $1,230
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 $114.82 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $114.82 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $20.89 | $22.39 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $102.33 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $95.50 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $26.30 | $46.77 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $123.03 | $151.36 | $302.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $13.80 | $23.44 | $39.81 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $128.82 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $467.74 | Facility | None | $162.18 | $281.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $131.83 | $131.83 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $16.98 | $21.38 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $112.20 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,122.02 | $1,230.27 | $1,230.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | TC · Technical part | $933.25 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $131.83 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $23.44 Typical High $47.86 | Professional | 26 · Professional part | $12.88 | $23.44 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $138.04 | $257.04 |
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 $57.54 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $57.54 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $23.99 | $32.36 |
Where Tennessee sits
The same service costs 3.7 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· 27th of 51
$170
AK $363UT $97.72
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.