How much rates vary
Facilitymedian $72 · 10th to 90th $42 to $355Professionalmedian $58 · 10th to 90th $36 to $631
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $41.69 Median $45.71 Typical High $72.44 | Facility | None | $41.69 | $45.71 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $45.71 Typical High $77.62 | Professional | None (both parts) | $40.74 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $9.77 | $10.72 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $31.62 | $33.11 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $30.90 | $37.15 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $9.12 | $12.59 | $14.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $43.65 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $43.65 | $67.61 | $93.33 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $10.23 | $15.49 | $21.38 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $52.48 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $416.87 | Facility | None | $134.90 | $323.59 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $35.48 | $43.65 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $9.55 | $11.48 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $64.57 | Professional | TC · Technical part | $25.70 | $32.36 | $64.57 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $269.15 | $269.15 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $47.86 | $57.54 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $23.44 | Professional | 26 · Professional part | $11.22 | $14.13 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $72.44 | Professional | TC · Technical part | $36.31 | $43.65 | $72.44 |
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 $20.42 Median $21.38 Typical High $28.84 | Professional | 52 · Reduced service | $20.42 | $21.38 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.51 Typical High $11.48 | Professional | 53 · Discontinued | $8.13 | $8.51 | $11.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 59 · Distinct service | $30.90 | $30.90 | $39.81 |
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· 27th of 51
$57.54
MN $105UT $31.62
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.