How much rates vary
Facilitymedian $117 · 10th to 90th $95 to $209Professionalmedian $112 · 10th to 90th $76 to $912
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 $95.50 Median $104.71 Typical High $104.71 | Facility | None | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $89.13 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $32.36 | $33.88 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $64.57 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $66.07 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $66.07 | $112.20 | $186.21 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $40.74 | $64.57 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $72.44 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $208.93 | Facility | None | $100.00 | $125.89 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $75.86 | $95.50 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $37.15 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $25.70 | $63.10 | $125.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $691.83 | $691.83 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $234.42 | $234.42 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $467.74 | $467.74 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $58.88 | $91.20 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $39.81 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $54.95 Typical High $144.54 | Professional | TC · Technical part | $23.99 | $54.95 | $144.54 |
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 $46.77 Median $48.98 Typical High $63.10 | Professional | 52 · Reduced service | $46.77 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $19.50 | $25.12 |
Where Tennessee sits
The same service costs 3.5 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· 23rd of 51
$112
AK $229KY $64.57
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.