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 $9.12 Median $17.78 Typical High $23.99 | Facility | None | $9.12 | $17.78 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $19.05 | Professional | None | $7.76 | $12.02 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $5.75 Typical High $9.55 | Professional | 52 · Reduced service | $4.17 | $5.75 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $18.20 Typical High $20.89 | Professional | None | $10.00 | $18.20 | $20.89 |
BCBS Tennessee Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $22.91 | Professional | None | $8.13 | $14.45 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | None | $117.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $22.91 | Professional | None | $8.71 | $15.85 | $22.91 |
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 59 · Distinct service Typical Low $6.61 Median $14.79 Typical High $17.38 | Professional | 59 · Distinct service | $6.61 | $14.79 | $17.38 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | XU · Unusual separate service | $18.20 | $18.20 | $19.05 |
Where Tennessee sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 25th of 51
$15.85
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.