How much rates vary
Facilitymedian $195 · 10th to 90th $39 to $417Professionalmedian $46 · 10th to 90th $35 to $363
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 $35.48 Median $38.90 Typical High $38.90 | Facility | None | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $35.48 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $13.49 | $14.13 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.39 Typical High $29.51 | Professional | TC · Technical part | $21.38 | $22.39 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $30.20 | $38.90 | $52.48 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $72.44 | Professional | None (both parts) | $37.15 | $44.67 | $72.44 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $17.78 | $28.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $43.65 | Professional | TC · Technical part | $22.39 | $27.54 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $234.42 Typical High $416.87 | Facility | None | $67.61 | $234.42 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $35.48 | $36.31 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $13.49 | $14.45 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $35.48 | Professional | TC · Technical part | $21.88 | $22.39 | $35.48 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | None (both parts) | $346.74 | $346.74 | $363.08 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $89.13 | $120.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $199.53 | $199.53 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $74.13 | Professional | None (both parts) | $33.11 | $38.02 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $30.20 | Professional | 26 · Professional part | $12.88 | $15.49 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $22.91 | $44.67 |
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 $17.38 Median $18.20 Typical High $23.99 | Professional | 52 · Reduced service | $17.38 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $9.55 | Professional | 53 · Discontinued | $6.92 | $7.24 | $9.55 |
Where Tennessee sits
The same service costs 2.7 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· 23rd of 51
$45.71
MN $83.18UT $30.90
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.