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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $12.30 | Professional | None | $7.24 | $10.47 | $12.30 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $7.76 Typical High $8.32 | Professional | UE · Used equipment | $5.50 | $7.76 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
BCBS Tennessee Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | None | $12.30 | $12.30 | $14.45 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.23 Typical High $1.58 | Professional | RR · Rental | $1.23 | $1.23 | $1.58 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $9.33 Median $9.33 Typical High $11.75 | Professional | UE · Used equipment | $9.33 | $9.33 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $12.59 | Facility | None | $10.96 | $10.96 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | None | $9.33 | $10.96 | $10.96 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | UE · Used equipment | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $13.80 | Professional | None | $6.46 | $9.33 | $13.80 |
United Setting Professional Modifier RR · Rental Typical Low $0.66 Median $0.91 Typical High $1.41 | Professional | RR · Rental | $0.66 | $0.91 | $1.41 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.90 Median $6.92 Typical High $10.23 | Professional | UE · Used equipment | $4.90 | $6.92 | $10.23 |
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 |
|---|---|---|---|---|---|
BCBS Tennessee Setting Professional Modifier KE · Bid item, non-bid base Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | KE · Bid item, non-bid base | $14.45 | $14.45 | $15.85 |
Where Tennessee sits
The same service costs 5.0 times more in Hawaii than in New Mexico. 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· 44th of 51
$10.96
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.