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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $81.28 | Professional | None | $57.54 | $60.26 | $81.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $45.71 Typical High $47.86 | Professional | UE · Used equipment | $42.66 | $45.71 | $47.86 |
BCBS Tennessee Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | None | $70.79 | $70.79 | $83.18 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | RR · Rental | $7.08 | $7.08 | $9.12 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | UE · Used equipment | $52.48 | $52.48 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $69.18 | Facility | None | $60.26 | $60.26 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | None | $51.29 | $60.26 | $60.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $4.90 | $4.90 | $4.90 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $79.43 | Professional | None | $38.90 | $54.95 | $79.43 |
United Setting Professional Modifier RR · Rental Typical Low $3.89 Median $5.50 Typical High $7.94 | Professional | RR · Rental | $3.89 | $5.50 | $7.94 |
United Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $40.74 Typical High $60.26 | Professional | UE · Used equipment | $29.51 | $40.74 | $60.26 |
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 $81.28 Median $81.28 Typical High $91.20 | Professional | KE · Bid item, non-bid base | $81.28 | $81.28 | $91.20 |
Where Tennessee sits
The same service costs 2.7 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· 43rd of 51
$60.26
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.