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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $35.48 | Professional | None | $30.20 | $31.62 | $35.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | UE · Used equipment | $22.91 | $23.99 | $25.12 |
BCBS Tennessee Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | None | $33.11 | $33.11 | $40.74 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.31 Typical High $4.17 | Professional | RR · Rental | $3.31 | $3.31 | $4.17 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | UE · Used equipment | $24.55 | $24.55 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Facility | None | $33.11 | $33.11 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | None | $28.18 | $33.11 | $33.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $38.02 | Professional | None | $19.05 | $26.30 | $38.02 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.63 Typical High $3.89 | Professional | RR · Rental | $1.95 | $2.63 | $3.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $19.95 Typical High $28.84 | Professional | UE · Used equipment | $14.45 | $19.95 | $28.84 |
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 $38.02 Median $38.02 Typical High $43.65 | Professional | KE · Bid item, non-bid base | $38.02 | $38.02 | $43.65 |
Where Tennessee sits
The same service costs 2.3 times more in Kansas 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· 43rd of 51
$32.36
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.