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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $977.24 | Professional | None | $831.76 | $870.96 | $977.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $660.69 Typical High $691.83 | Professional | UE · Used equipment | $616.60 | $660.69 | $691.83 |
BCBS Tennessee Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Professional | None | $870.96 | $870.96 | $1,122.02 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | RR · Rental | $87.10 | $87.10 | $112.20 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $630.96 | Facility | None | $602.56 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
Cigna Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,000.00 | Professional | None | $467.74 | $691.83 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $46.77 Median $69.18 Typical High $100.00 | Professional | RR · Rental | $46.77 | $69.18 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $524.81 Typical High $741.31 | Professional | UE · Used equipment | $346.74 | $524.81 | $741.31 |
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 $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | KE · Bid item, non-bid base | $1,023.29 | $1,023.29 | $1,202.26 |
Where Tennessee sits
The same service costs 9.5 times more in North Dakota than in Mississippi. 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· 42nd of 51
$692
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.