How much rates vary
Facilitymedian $195 · 10th to 90th $141 to $417Professionalmedian $178 · 10th to 90th $141 to $955
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $138.04 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $85.11 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $56.23 | $58.88 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $134.90 | $144.54 | $162.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $144.54 | $173.78 | $275.42 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $107.15 | $165.96 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $64.57 | $69.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $416.87 | Facility | None | $125.89 | $194.98 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $141.25 | $162.18 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $97.72 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $64.57 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $954.99 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $537.03 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $416.87 | $588.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $138.04 | $169.82 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $102.33 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $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 $69.18 Median $72.44 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $28.84 | $37.15 |
Where Tennessee sits
The same service costs 3.6 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· 23rd of 51
$178
AK $380TX $105
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.