How much rates vary
Facilitymedian $1,175 · 10th to 90th $776 to $1,950Professionalmedian $1,000 · 10th to 90th $372 to $9,333
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $954.99 Typical High $1,230.27 | Professional | None (both parts) | $912.01 | $954.99 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $204.17 Typical High $263.03 | Professional | 26 · Professional part | $194.98 | $204.17 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $758.58 Typical High $977.24 | Professional | TC · Technical part | $724.44 | $758.58 | $977.24 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $1,737.80 | Professional | None (both parts) | $363.08 | $426.58 | $1,737.80 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $251.19 Typical High $398.11 | Professional | 26 · Professional part | $223.87 | $251.19 | $398.11 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $1,584.89 | Professional | TC · Technical part | $138.04 | $151.36 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,949.84 | Facility | None | $776.25 | $1,174.90 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,071.52 Typical High $2,089.30 | Professional | None (both parts) | $870.96 | $1,071.52 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $446.68 | Professional | 26 · Professional part | $186.21 | $223.87 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $851.14 Typical High $1,659.59 | Professional | TC · Technical part | $676.08 | $851.14 | $1,659.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,606.93 Median $6,606.93 Typical High $9,332.54 | Professional | None (both parts) | $6,606.93 | $6,606.93 | $9,332.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,737.80 Median $1,737.80 Typical High $1,778.28 | Professional | 26 · Professional part | $1,737.80 | $1,737.80 | $1,778.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $7,585.78 Typical High $7,585.78 | Professional | TC · Technical part | $5,248.07 | $7,585.78 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $954.99 Typical High $2,290.87 | Professional | None (both parts) | $331.13 | $954.99 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $239.88 Typical High $446.68 | Professional | 26 · Professional part | $190.55 | $239.88 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $398.11 Typical High $1,949.84 | Professional | TC · Technical part | $120.23 | $398.11 | $1,949.84 |
4 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 $457.09 Median $478.63 Typical High $616.60 | Professional | 52 · Reduced service | $457.09 | $478.63 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $245.47 | Professional | 53 · Discontinued | $181.97 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $144.54 Typical High $186.21 | Professional | 55 · Aftercare only | $138.04 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $123.03 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $123.03 |
Where Tennessee sits
The same service costs 11.2 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· 38th of 51
$1,000
AK $3,020KY $269
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.