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 $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $7.76 | Professional | None | $6.03 | $7.41 | $7.76 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.62 Median $0.62 Typical High $1.12 | Professional | RR · Rental | $0.62 | $0.62 | $1.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $5.50 Typical High $5.89 | Professional | UE · Used equipment | $4.47 | $5.50 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
BCBS Tennessee Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | RR · Rental | $0.93 | $0.93 | $0.93 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | UE · Used equipment | $6.76 | $6.76 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Lucent Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | None | $70.79 | $70.79 | $91.20 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $19.95 | Professional | RR · Rental | $9.33 | $9.33 | $19.95 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $6.76 | Professional | None | $3.98 | $5.62 | $6.76 |
United Setting Professional Modifier RR · Rental Typical Low $0.41 Median $0.58 Typical High $0.63 | Professional | RR · Rental | $0.41 | $0.58 | $0.63 |
United Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $4.27 Typical High $4.68 | Professional | UE · Used equipment | $2.95 | $4.27 | $4.68 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.62 Median $0.62 Typical High $1.12 | Professional | MS · Maintenance fee | $0.62 | $0.62 | $1.12 |
Where Tennessee sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 23rd of 51
$7.24
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.