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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $134.90 | Professional | None | $97.72 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $51.29 Typical High $66.07 | Professional | 52 · Reduced service | $47.86 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $20.42 | $26.30 |
BCBS Tennessee Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $199.53 | Professional | None | $104.71 | $125.89 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $234.42 | Professional | None | $97.72 | $117.49 | $234.42 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $912.01 | Professional | None | $660.69 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $234.42 | Professional | None | $97.72 | $123.03 | $234.42 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | GC · Resident with teaching physician | $107.15 | $107.15 | $107.15 |
Where Tennessee sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$129
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.