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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $489.78 | Professional | None | $446.68 | $467.74 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $354.81 Typical High $371.54 | Professional | UE · Used equipment | $331.13 | $354.81 | $371.54 |
BCBS Tennessee Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $676.08 | Professional | None | $537.03 | $537.03 | $676.08 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | RR · Rental | $53.70 | $53.70 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Facility | None | $371.54 | $371.54 | $389.05 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $38.90 | Facility | RR · Rental | $37.15 | $37.15 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | RR · Rental | $31.62 | $31.62 | $37.15 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $501.19 | Professional | None | $245.47 | $316.23 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $38.90 Typical High $63.10 | Professional | RR · Rental | $28.84 | $38.90 | $63.10 |
United Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $234.42 Typical High $371.54 | Professional | UE · Used equipment | $186.21 | $234.42 | $371.54 |
3 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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $30.90 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $30.90 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier NR · New when rented Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | NR · New when rented | $295.12 | $295.12 | $295.12 |
Where Tennessee sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. 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
$372
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.