How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $34.67 Median $38.02 Typical High $70.79 | Facility | None | $34.67 | $38.02 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $70.79 | Professional | None | $22.91 | $34.67 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $18.20 Typical High $27.54 | Professional | 52 · Reduced service | $17.38 | $18.20 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $11.22 | Professional | 53 · Discontinued | $6.92 | $7.24 | $11.22 |
BCBS Tennessee Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $46.77 | Professional | None | $19.50 | $23.99 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $95.50 Typical High $141.25 | Facility | None | $30.20 | $95.50 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $51.29 | Professional | None | $24.55 | $24.55 | $51.29 |
United Setting Professional Modifier None Typical Low $9.77 Median $19.50 Typical High $27.54 | Professional | None | $9.77 | $19.50 | $27.54 |
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 90 · Outside lab Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 90 · Outside lab | $27.54 | $27.54 | $27.54 |
Where Tennessee sits
The same service costs 4.9 times more in Alaska 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· 41st of 51
$24.55
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.