How much rates vary
Facilitymedian $195 · 10th to 90th $126 to $417Professionalmedian $91 · 10th to 90th $62 to $813
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $125.89 | Professional | None (both parts) | $60.26 | $63.10 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $17.38 | $18.20 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $45.71 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | None (both parts) | $57.54 | $57.54 | $69.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $69.18 | $81.28 | $125.89 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $22.91 | $35.48 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $56.23 | $95.50 |
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 $61.66 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $61.66 | $77.62 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $19.95 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $151.36 | Professional | TC · Technical part | $43.65 | $54.95 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $630.96 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $575.44 | $588.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $61.66 | $104.71 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $40.74 | Professional | 26 · Professional part | $17.38 | $20.89 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $43.65 | $79.43 | $151.36 |
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 $30.20 Median $31.62 Typical High $43.65 | Professional | 52 · Reduced service | $30.20 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $17.38 | Professional | 53 · Discontinued | $12.02 | $12.59 | $17.38 |
Where Tennessee sits
The same service costs 3.2 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· 25th of 51
$91.20
AK $162TX $51.29
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.