How much rates vary
Facilitymedian $251 · 10th to 90th $195 to $417Professionalmedian $178 · 10th to 90th $132 to $1,318
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 $239.88 | Facility | None | $141.25 | $141.25 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $138.04 | $147.91 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $27.54 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $112.20 | $120.23 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $131.83 | $165.96 | $281.84 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $33.11 | $52.48 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $134.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $416.87 | Facility | None | $194.98 | $323.59 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $120.23 | $158.49 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $30.20 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $89.13 | $131.83 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,318.26 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $158.49 Typical High $363.08 | Professional | None (both parts) | $95.50 | $158.49 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $128.82 | $302.00 |
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 $97.72 | Professional | 52 · Reduced service | $69.18 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $38.90 | Professional | 53 · Discontinued | $28.18 | $29.51 | $38.90 |
Where Tennessee sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 26th of 51
$178
AK $347NM $120
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.