How much rates vary
Facilitymedian $251 · 10th to 90th $58 to $417Professionalmedian $69 · 10th to 90th $56 to $759
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 $56.23 Median $57.54 Typical High $177.83 | Facility | None | $56.23 | $57.54 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $56.23 | $58.88 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $27.54 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $29.51 | $30.90 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | None (both parts) | $70.79 | $70.79 | $77.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $58.88 | $69.18 | $117.49 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $34.67 | $54.95 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $34.67 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $323.59 Typical High $416.87 | Facility | None | $89.13 | $323.59 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $56.23 | $57.54 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $28.18 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $31.62 | $48.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $138.04 | Professional | None (both parts) | $51.29 | $60.26 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $30.20 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $61.66 | Professional | TC · Technical part | $25.12 | $29.51 | $61.66 |
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 $28.18 Median $29.51 Typical High $38.90 | Professional | 52 · Reduced service | $28.18 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $15.49 | Professional | 53 · Discontinued | $11.22 | $11.75 | $15.49 |
Where Tennessee sits
The same service costs 3.6 times more in Minnesota than in Texas. 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· 31st of 51
$69.18
MN $141TX $38.90
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.