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 $10.47 Median $12.88 Typical High $19.95 | Facility | None | $10.47 | $12.88 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $15.85 | Professional | None | $9.33 | $11.48 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $20.89 | Professional | None | $10.23 | $14.45 | $20.89 |
BCBS Tennessee Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $20.89 | Professional | None | $11.75 | $14.13 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $18.62 | Professional | None | $10.96 | $13.80 | $18.62 |
Lucent Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $20.42 | Professional | None | $11.48 | $13.18 | $20.42 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $10.23 Median $12.59 Typical High $18.62 | Professional | 25 · Same-day visit | $10.23 | $12.59 | $18.62 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 33 · Preventive service | $12.30 | $12.30 | $12.30 |
Where Tennessee sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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
$13.80
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.