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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $72.44 | Professional | None | $44.67 | $63.10 | $72.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $46.77 Typical High $48.98 | Professional | UE · Used equipment | $35.48 | $46.77 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
BCBS Tennessee Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | None | $79.43 | $79.43 | $87.10 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $8.13 Median $8.13 Typical High $10.47 | Professional | RR · Rental | $8.13 | $8.13 | $10.47 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | UE · Used equipment | $58.88 | $58.88 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $66.07 | Facility | None | $57.54 | $57.54 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | None | $48.98 | $57.54 | $57.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $7.08 | Professional | RR · Rental | $6.61 | $6.61 | $7.08 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | UE · Used equipment | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $89.13 | Professional | None | $36.31 | $51.29 | $89.13 |
United Setting Professional Modifier RR · Rental Typical Low $3.80 Median $5.37 Typical High $8.91 | Professional | RR · Rental | $3.80 | $5.37 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $38.90 Typical High $66.07 | Professional | UE · Used equipment | $27.54 | $38.90 | $66.07 |
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 $91.20 Median $91.20 Typical High $93.33 | Professional | KE · Bid item, non-bid base | $91.20 | $91.20 | $93.33 |
Where Tennessee sits
The same service costs 3.7 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· 39th of 51
$57.54
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.