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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $457.09 | Professional | None | $389.05 | $436.52 | $457.09 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $309.03 Typical High $323.59 | Professional | UE · Used equipment | $288.40 | $309.03 | $323.59 |
BCBS Tennessee Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $407.38 | Professional | None | $380.19 | $407.38 | $407.38 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $38.02 | $40.74 | $40.74 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | UE · Used equipment | $288.40 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $134.90 | Facility | None | $128.82 | $128.82 | $134.90 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.88 Median $12.88 Typical High $13.49 | Facility | RR · Rental | $12.88 | $12.88 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | RR · Rental | $10.96 | $12.88 | $12.88 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $562.34 | Professional | None | $275.42 | $363.08 | $562.34 |
United Setting Professional Modifier RR · Rental Typical Low $27.54 Median $36.31 Typical High $56.23 | Professional | RR · Rental | $27.54 | $36.31 | $56.23 |
United Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $257.04 Typical High $398.11 | Professional | UE · Used equipment | $194.98 | $257.04 | $398.11 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | NR · New when rented | $102.33 | $102.33 | $102.33 |
Where Tennessee sits
The same service costs 17.8 times more in North Dakota than in Wyoming. 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
$363
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.