How much rates vary
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $54.95 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $23.99 | Professional | 26 · Professional part | $16.98 | $17.78 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $64.57 | Professional | TC · Technical part | $37.15 | $38.90 | $64.57 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $57.54 | $77.62 | $112.20 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $23.99 | $35.48 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $77.62 | Professional | TC · Technical part | $39.81 | $54.95 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $213.80 | Facility | None | $117.49 | $125.89 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $102.33 | Professional | None (both parts) | $57.54 | $72.44 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $30.90 | Professional | 26 · Professional part | $18.20 | $19.50 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $53.70 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $588.84 | $588.84 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $234.42 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $478.63 | $478.63 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $123.03 | Professional | None (both parts) | $47.86 | $64.57 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $20.42 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $28.84 | $44.67 | $87.10 |
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 $27.54 Median $28.84 Typical High $41.69 | Professional | 52 · Reduced service | $27.54 | $28.84 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $16.98 | Professional | 53 · Discontinued | $10.96 | $11.48 | $16.98 |
Where Tennessee sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 33rd of 51
$79.43
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.