How much rates vary
Facilitymedian $151 · 10th to 90th $105 to $174Professionalmedian $195 · 10th to 90th $148 to $1,380
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 $158.49 Median $173.78 Typical High $173.78 | Facility | None | $158.49 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $151.36 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $75.86 | $79.43 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $81.28 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $154.88 | $154.88 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $138.04 | $194.98 | $316.23 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $97.72 | $154.88 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $173.78 | Facility | None | $104.71 | $138.04 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $346.74 | Professional | None (both parts) | $138.04 | $162.18 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $89.13 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $51.29 | $75.86 | $169.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,380.38 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | 26 · Professional part | $512.86 | $512.86 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | TC · Technical part | $549.54 | $549.54 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $125.89 | $177.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $42.66 | $89.13 | $169.82 |
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 $75.86 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $75.86 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $30.20 | $32.36 | $41.69 |
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· 20th of 51
$195
AK $398TX $102
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.