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 $30.20 Median $32.36 Typical High $37.15 | Facility | None | $30.20 | $32.36 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $42.66 | Professional | None | $26.92 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.60 Typical High $21.38 | Professional | 52 · Reduced service | $15.85 | $16.60 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.76 Typical High $8.51 | Professional | 53 · Discontinued | $6.31 | $6.76 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $43.65 | Professional | None | $25.12 | $34.67 | $43.65 |
BCBS Tennessee Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $36.31 | Professional | None | $29.51 | $30.90 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $38.90 | Professional | None | $23.99 | $38.90 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $331.13 | Professional | None | $218.78 | $218.78 | $331.13 |
Optum Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None | $32.36 | $32.36 | $40.74 |
United Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $60.26 | Professional | None | $32.36 | $33.88 | $60.26 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 59 · Distinct service | $33.88 | $33.88 | $33.88 |
Where Tennessee sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 44th of 51
$33.11
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.