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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $125.89 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $26.30 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $102.33 | $107.15 | $158.49 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $128.82 | $154.88 | $257.04 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $32.36 | $51.29 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $114.82 | $123.03 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $416.87 | Facility | None | $177.83 | $194.98 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $123.03 | $165.96 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $30.20 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $91.20 | $138.04 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,479.11 | Professional | None (both parts) | $954.99 | $954.99 | $1,479.11 |
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 $794.33 Median $794.33 Typical High $1,258.93 | Professional | TC · Technical part | $794.33 | $794.33 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $154.88 Typical High $371.54 | Professional | None (both parts) | $95.50 | $154.88 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $31.62 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $125.89 | $316.23 |
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 $63.10 Median $66.07 Typical High $93.33 | Professional | 52 · Reduced service | $63.10 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $36.31 | Professional | 53 · Discontinued | $25.12 | $26.30 | $36.31 |
Where Tennessee sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 27th of 51
$170
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.