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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $22.91 | Professional | None | $19.50 | $20.89 | $22.91 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $15.49 Typical High $16.22 | Professional | UE · Used equipment | $14.79 | $15.49 | $16.22 |
BCBS Tennessee Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $2.82 | Professional | RR · Rental | $2.19 | $2.19 | $2.82 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | UE · Used equipment | $16.22 | $16.22 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $25.12 | Facility | None | $21.88 | $21.88 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | None | $18.62 | $21.88 | $21.88 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | RR · Rental | $1.55 | $1.55 | $1.55 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | UE · Used equipment | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $24.55 | Professional | None | $12.30 | $16.98 | $24.55 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.70 Typical High $2.45 | Professional | RR · Rental | $1.23 | $1.70 | $2.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $12.59 Typical High $18.62 | Professional | UE · Used equipment | $9.12 | $12.59 | $18.62 |
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 $25.12 Median $25.12 Typical High $28.84 | Professional | KE · Bid item, non-bid base | $25.12 | $25.12 | $28.84 |
Where Tennessee sits
The same service costs 2.6 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· 41st of 51
$20.89
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.