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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $77.62 | Professional | None | $38.90 | $54.95 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $63.10 Typical High $91.20 | Professional | None | $25.12 | $63.10 | $91.20 |
BCBS Tennessee Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $67.61 | Professional | None | $52.48 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $63.10 | Facility | None | $58.88 | $58.88 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | None | $43.65 | $43.65 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $676.08 | Professional | None | $446.68 | $446.68 | $676.08 |
United Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $63.10 | Professional | None | $26.92 | $42.66 | $63.10 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Where Tennessee sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 36th of 51
$56.23
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.