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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $102.33 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $51.29 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $20.42 | $21.38 | $27.54 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $109.65 | $131.83 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $831.76 Typical High $1,380.38 | Facility | None | $295.12 | $831.76 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $288.40 | Professional | None (both parts) | $102.33 | $102.33 | $288.40 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | None (both parts) | $691.83 | $691.83 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $97.72 | $123.03 | $234.42 |
3 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 TC · Technical part Typical Low $93.33 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $93.33 | $104.71 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $147.91 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Where Tennessee sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 20th of 51
$138
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.