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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $117.49 | Professional | None (both parts) | $89.13 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $36.31 | $38.02 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $52.48 | $54.95 | $70.79 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $56.23 | $66.07 | $104.71 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $46.77 | $74.13 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.95 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $19.95 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $436.52 Typical High $707.95 | Facility | None | $162.18 | $436.52 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $208.93 | Professional | None (both parts) | $89.13 | $104.71 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $41.69 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $52.48 | $61.66 | $123.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $257.04 | $257.04 | $323.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $97.72 Typical High $251.19 | Professional | None (both parts) | $54.95 | $97.72 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $45.71 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $33.88 Typical High $208.93 | Professional | TC · Technical part | $16.22 | $33.88 | $208.93 |
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 $44.67 Median $46.77 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $18.62 | $23.44 |
Where Tennessee sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 41st of 51
$93.33
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.