How much rates vary
Facilitymedian $54 · 10th to 90th $39 to $115Professionalmedian $58 · 10th to 90th $40 to $457
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $38.90 | $39.81 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.55 Typical High $4.79 | Professional | 26 · Professional part | $3.39 | $3.55 | $4.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $35.48 | $36.31 | $61.66 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $79.43 | Professional | None (both parts) | $40.74 | $57.54 | $79.43 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $4.47 Typical High $7.08 | Professional | 26 · Professional part | $3.63 | $4.47 | $7.08 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $52.48 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $53.70 Typical High $114.82 | Facility | None | $41.69 | $53.70 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $43.65 | $45.71 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.63 Typical High $5.75 | Professional | 26 · Professional part | $3.39 | $3.63 | $5.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $39.81 | $41.69 | $81.28 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $43.65 | $50.12 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.80 Typical High $7.41 | Professional | 26 · Professional part | $3.39 | $3.80 | $7.41 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $45.71 | $89.13 |
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 $19.05 Median $19.95 Typical High $27.54 | Professional | 52 · Reduced service | $19.05 | $19.95 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $11.22 | Professional | 53 · Discontinued | $7.59 | $7.94 | $11.22 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | XU · Unusual separate service | $56.23 | $56.23 | $56.23 |
Where Tennessee sits
The same service costs 3.3 times more in North Dakota 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
ND $102UT $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.