How much rates vary
Facilitymedian $324 · 10th to 90th $195 to $759Professionalmedian $389 · 10th to 90th $302 to $3,311
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 $245.47 Median $346.74 Typical High $346.74 | Facility | None | $245.47 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $309.03 | $323.59 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $54.95 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $251.19 | $269.15 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $52.48 | $83.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $331.13 | $363.08 | $630.96 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $67.61 | $107.15 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $275.42 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $758.58 | Facility | None | $194.98 | $323.59 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $257.04 | $331.13 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $61.66 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $269.15 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $3,311.31 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $776.25 Typical High $776.25 | Professional | 26 · Professional part | $489.78 | $776.25 | $776.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $2,818.38 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $223.87 | $380.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $64.57 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $616.60 | Professional | TC · Technical part | $199.53 | $323.59 | $616.60 |
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 $151.36 Median $162.18 Typical High $208.93 | Professional | 52 · Reduced service | $151.36 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $61.66 | $64.57 | $83.18 |
Where Tennessee sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 24th of 51
$389
AK $776NM $240
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.