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 $22.91 Median $25.70 Typical High $35.48 | Facility | None | $22.91 | $25.70 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $27.54 | Professional | None | $17.38 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $12.30 Typical High $13.80 | Professional | 52 · Reduced service | $8.71 | $12.30 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | None | $27.54 | $32.36 | $32.36 |
BCBS Tennessee Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | None | $20.89 | $23.44 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Lucent Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | None | $186.21 | $186.21 | $288.40 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $51.29 | Professional | None | $22.39 | $28.18 | $51.29 |
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 $21.38 Median $27.54 Typical High $33.88 | Professional | 59 · Distinct service | $21.38 | $27.54 | $33.88 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | XU · Unusual separate service | $25.12 | $32.36 | $32.36 |
Where Tennessee sits
The same service costs 2.7 times more in North Dakota 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· 43rd of 51
$23.99
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.