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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $37.15 | Professional | None | $31.62 | $33.88 | $37.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $25.12 Typical High $26.92 | Professional | UE · Used equipment | $23.99 | $25.12 | $26.92 |
BCBS Tennessee Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None | $32.36 | $32.36 | $40.74 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $4.07 | Professional | RR · Rental | $3.24 | $3.24 | $4.07 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | UE · Used equipment | $23.99 | $23.99 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $38.02 | Facility | None | $36.31 | $36.31 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | None | $30.90 | $36.31 | $36.31 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | UE · Used equipment | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $41.69 | Professional | None | $20.89 | $28.18 | $41.69 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.75 Typical High $4.17 | Professional | RR · Rental | $2.04 | $2.75 | $4.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $20.89 Typical High $30.90 | Professional | UE · Used equipment | $15.49 | $20.89 | $30.90 |
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 $37.15 Median $37.15 Typical High $44.67 | Professional | KE · Bid item, non-bid base | $37.15 | $37.15 | $44.67 |
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· 45th 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.