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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $151.36 | Professional | None | $112.20 | $117.49 | $151.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $89.13 Typical High $93.33 | Professional | UE · Used equipment | $83.18 | $89.13 | $93.33 |
BCBS Tennessee Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | None | $144.54 | $144.54 | $173.78 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $19.50 | Professional | RR · Rental | $14.45 | $14.45 | $19.50 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $109.65 Typical High $109.65 | Professional | UE · Used equipment | $95.50 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $134.90 | Facility | None | $128.82 | $128.82 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | RR · Rental | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $162.18 | Professional | None | $67.61 | $87.10 | $162.18 |
United Setting Professional Modifier RR · Rental Typical Low $7.59 Median $10.72 Typical High $16.22 | Professional | RR · Rental | $7.59 | $10.72 | $16.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $61.66 Typical High $120.23 | Professional | UE · Used equipment | $50.12 | $61.66 | $120.23 |
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 $169.82 Median $169.82 Typical High $190.55 | Professional | KE · Bid item, non-bid base | $169.82 | $169.82 | $190.55 |
Where Tennessee sits
The same service costs 2.8 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· 29th of 51
$129
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.