How much rates vary
Facilitymedian $355 · 10th to 90th $195 to $676Professionalmedian $407 · 10th to 90th $316 to $2,455
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 $331.13 Median $371.54 Typical High $575.44 | Facility | None | $331.13 | $371.54 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $331.13 | $354.81 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $57.54 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $302.00 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None (both parts) | $354.81 | $354.81 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $50.12 | $97.72 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $288.40 | $407.38 | $660.69 |
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 $302.00 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $338.84 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $676.08 | Facility | None | $194.98 | $323.59 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $794.33 | Professional | None (both parts) | $281.84 | $363.08 | $794.33 |
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 $218.78 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $302.00 | $660.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $3,548.13 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $3,548.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $467.74 | Professional | 26 · Professional part | $354.81 | $354.81 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,089.30 Typical High $3,090.30 | Professional | TC · Technical part | $2,089.30 | $2,089.30 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $812.83 | Professional | None (both parts) | $213.80 | $380.19 | $812.83 |
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 $181.97 Median $323.59 Typical High $691.83 | Professional | TC · Technical part | $181.97 | $323.59 | $691.83 |
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 $165.96 Median $173.78 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $91.20 | Professional | 53 · Discontinued | $67.61 | $70.79 | $91.20 |
Where Tennessee sits
The same service costs 3.0 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· 27th of 51
$407
AK $794NM $269
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.