How much rates vary
Facilitymedian $324 · 10th to 90th $158 to $15,136Professionalmedian $191 · 10th to 90th $141 to $1,413
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 $144.54 Median $158.49 Typical High $19,952.62 | Facility | None | $144.54 | $158.49 | $19,952.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $194.98 | Professional | None (both parts) | $141.25 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $66.07 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $77.62 | $81.28 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $151.36 | $190.55 | $295.12 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $83.18 | $131.83 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $416.87 | Facility | None | $234.42 | $323.59 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $141.25 | $151.36 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $67.61 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $83.18 | $134.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,412.54 | Professional | None (both parts) | $977.24 | $977.24 | $1,412.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | 26 · Professional part | $426.58 | $426.58 | $562.34 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | TC · Technical part | $741.31 | $741.31 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $131.83 | $154.88 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $72.44 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $87.10 | $165.96 |
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 $70.79 Median $74.13 Typical High $97.72 | Professional | 52 · Reduced service | $70.79 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $38.90 | Professional | 53 · Discontinued | $28.18 | $29.51 | $38.90 |
Where Tennessee sits
The same service costs 3.6 times more in Alaska 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· 22nd of 51
$191
AK $331TX $91.20
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.