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 $66.07 Median $141.25 Typical High $141.25 | Facility | None | $66.07 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $91.20 | Professional | None | $66.07 | $70.79 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $72.44 | Professional | None | $60.26 | $66.07 | $72.44 |
BCBS Tennessee Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $109.65 | Professional | None | $67.61 | $75.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $204.17 | Facility | None | $177.83 | $177.83 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $107.15 | Professional | None | $60.26 | $64.57 | $107.15 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | None | $489.78 | $489.78 | $630.96 |
United Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | None | $61.66 | $72.44 | $117.49 |
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 $60.26 Median $60.26 Typical High $69.18 | Professional | 59 · Distinct service | $60.26 | $60.26 | $69.18 |
Where Tennessee sits
The same service costs 3.0 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· 40th of 51
$77.62
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.