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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $181.97 | Professional | None | $131.83 | $173.78 | $181.97 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $131.83 Typical High $138.04 | Professional | UE · Used equipment | $87.10 | $131.83 | $138.04 |
BCBS Tennessee Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | None | $223.87 | $223.87 | $257.04 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | RR · Rental | $22.39 | $22.39 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Facility | None | $177.83 | $177.83 | $186.21 |
Cigna Setting Facility Modifier RR · Rental Typical Low $17.78 Median $17.78 Typical High $18.62 | Facility | RR · Rental | $17.78 | $17.78 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | RR · Rental | $15.14 | $15.14 | $17.78 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | UE · Used equipment | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $199.53 | Professional | None | $91.20 | $128.82 | $199.53 |
United Setting Professional Modifier RR · Rental Typical Low $11.22 Median $15.14 Typical High $23.44 | Professional | RR · Rental | $11.22 | $15.14 | $23.44 |
United Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $95.50 Typical High $147.91 | Professional | UE · Used equipment | $69.18 | $95.50 | $147.91 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.30 Typical High $27.54 | Professional | 55 · Aftercare only | $24.55 | $26.30 | $27.54 |
Where Tennessee sits
The same service costs 22.4 times more in Kansas 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· 33rd of 51
$174
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.