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 $109.65 Median $109.65 Typical High $158.49 | Facility | None | $109.65 | $109.65 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $104.71 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $47.86 | $50.12 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $63.10 | $83.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $95.50 | $134.90 | $218.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $61.66 | $95.50 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $77.62 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $173.78 | Facility | None | $104.71 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $102.33 | $114.82 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $54.95 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $131.83 | Professional | TC · Technical part | $44.67 | $58.88 | $131.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,023.29 | Professional | None (both parts) | $794.33 | $794.33 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | 26 · Professional part | $389.05 | $389.05 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | TC · Technical part | $478.63 | $478.63 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $91.20 | $125.89 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $58.88 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $39.81 | $69.18 | $134.90 |
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 $52.48 Median $56.23 Typical High $72.44 | Professional | 52 · Reduced service | $52.48 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $22.39 | $28.84 |
Where Tennessee sits
The same service costs 3.9 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· 21st of 51
$135
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.