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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $912.01 | Professional | None | $691.83 | $758.58 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $851.14 | Professional | None | $741.31 | $776.25 | $851.14 |
BCBS Tennessee Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $2,511.89 | Professional | None | $870.96 | $1,023.29 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $1,380.38 | Professional | None | $831.76 | $851.14 | $1,380.38 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
United Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,445.44 | Professional | None | $776.25 | $933.25 | $1,445.44 |
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 25 · Same-day visit Typical Low $741.31 Median $758.58 Typical High $1,737.80 | Professional | 25 · Same-day visit | $741.31 | $758.58 | $1,737.80 |
Where Tennessee sits
The same service costs 2.9 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· 32nd of 51
$955
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.