How much rates vary
Facilitymedian $209 · 10th to 90th $72 to $324Professionalmedian $49 · 10th to 90th $37 to $417
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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.02 Typical High $50.12 | Professional | None (both parts) | $36.31 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $16.22 | Professional | 26 · Professional part | $11.48 | $12.30 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $25.70 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $75.86 | Professional | None (both parts) | $38.90 | $46.77 | $75.86 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $12.30 | $15.14 | $23.99 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $30.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $208.93 Typical High $323.59 | Facility | None | $83.18 | $208.93 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $38.02 | $40.74 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $11.48 | $12.30 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $28.84 | $45.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $251.19 | $416.87 | $416.87 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $102.33 | $102.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $186.21 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $36.31 | $41.69 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $25.70 | Professional | 26 · Professional part | $10.96 | $13.18 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $28.18 | $53.70 |
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 $18.20 Median $19.05 Typical High $25.12 | Professional | 52 · Reduced service | $18.20 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.59 Typical High $10.00 | Professional | 53 · Discontinued | $7.24 | $7.59 | $10.00 |
Where Tennessee sits
The same service costs 2.9 times more in Alaska 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
$48.98
AK $89.13UT $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.