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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $34.67 | Professional | None | $20.42 | $22.91 | $34.67 |
BCBS Tennessee Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $28.18 | Professional | None | $18.20 | $19.50 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $41.69 Typical High $53.70 | Facility | None | $30.90 | $41.69 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $21.88 Typical High $33.88 | Professional | None | $12.02 | $21.88 | $33.88 |
Lucent Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
United Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $37.15 | Professional | None | $18.20 | $22.91 | $37.15 |
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 $10.00 Median $10.72 Typical High $14.13 | Professional | 52 · Reduced service | $10.00 | $10.72 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.27 Typical High $5.62 | Professional | 53 · Discontinued | $4.07 | $4.27 | $5.62 |
Where Tennessee sits
The same service costs 2.8 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· 47th of 51
$22.91
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.