How much rates vary
Facilitymedian $1,259 · 10th to 90th $776 to $2,692Professionalmedian $1,148 · 10th to 90th $832 to $6,026
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 $1,148.15 Median $2,691.53 Typical High $2,691.53 | Facility | None | $1,148.15 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $912.01 Typical High $1,445.44 | Professional | None (both parts) | $812.83 | $912.01 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $123.03 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $794.33 Typical High $1,258.93 | Professional | TC · Technical part | $707.95 | $794.33 | $1,258.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $1,737.80 | Professional | None (both parts) | $870.96 | $1,096.48 | $1,737.80 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $134.90 | $151.36 | $239.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,000.00 Typical High $1,513.56 | Professional | TC · Technical part | $831.76 | $1,000.00 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,380.38 | Facility | None | $776.25 | $1,174.90 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,023.29 Typical High $2,187.76 | Professional | None (both parts) | $891.25 | $1,023.29 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $138.04 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $891.25 Typical High $1,905.46 | Professional | TC · Technical part | $758.58 | $891.25 | $1,905.46 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $8,709.64 Typical High $8,709.64 | Professional | None (both parts) | $6,025.60 | $8,709.64 | $8,709.64 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $776.25 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $776.25 | $1,000.00 | $1,000.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $7,762.47 Typical High $7,762.47 | Professional | TC · Technical part | $5,248.07 | $7,762.47 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,096.48 Typical High $2,137.96 | Professional | None (both parts) | $831.76 | $1,096.48 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $117.49 | $147.91 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $954.99 Typical High $1,819.70 | Professional | TC · Technical part | $707.95 | $954.99 | $1,819.70 |
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 $407.38 Median $426.58 Typical High $588.84 | Professional | 52 · Reduced service | $407.38 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $234.42 | Professional | 53 · Discontinued | $162.18 | $173.78 | $234.42 |
Where Tennessee sits
The same service costs 2.9 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· 25th of 51
$1,148
AK $2,138TX $741
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.