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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $263.03 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $107.15 | $112.20 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $158.49 | $165.96 | $218.78 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $257.04 | $331.13 | $512.86 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $104.71 | $131.83 | $204.17 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $194.98 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $707.95 | Facility | None | $338.84 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $263.03 | $288.40 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $107.15 | $114.82 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $151.36 | $173.78 | $245.47 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $2,818.38 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $2,818.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Professional | 26 · Professional part | $741.31 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,122.02 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $245.47 | $316.23 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $114.82 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $177.83 | $309.03 |
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 $131.83 Median $138.04 Typical High $186.21 | Professional | 52 · Reduced service | $131.83 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $74.13 | Professional | 53 · Discontinued | $52.48 | $54.95 | $74.13 |
Where Tennessee sits
The same service costs 9.8 times more in Alaska than in New York. 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· 20th of 51
$347
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.