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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $144.54 | Professional | None | $104.71 | $109.65 | $144.54 |
BCBS Tennessee Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $131.83 | Professional | None | $61.66 | $75.86 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $173.78 | Facility | None | $51.29 | $74.13 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $165.96 | Professional | None | $53.70 | $100.00 | $165.96 |
Lucent Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | None | $758.58 | $758.58 | $1,000.00 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $177.83 | Professional | None | $60.26 | $104.71 | $177.83 |
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 $52.48 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $20.89 | $21.88 | $28.18 |
Where Tennessee sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 33rd of 51
$107
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.