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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $26.30 | Professional | None | $20.42 | $24.55 | $26.30 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.00 Typical High $2.40 | Professional | RR · Rental | $2.00 | $2.00 | $2.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $18.62 Typical High $19.50 | Professional | UE · Used equipment | $16.22 | $18.62 | $19.50 |
BCBS Tennessee Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | None | $30.20 | $30.20 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $29.51 | Facility | None | $25.12 | $25.12 | $29.51 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.95 Median $25.12 Typical High $26.30 | Facility | RR · Rental | $2.95 | $25.12 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Lucent Health Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $338.84 | Professional | None | $208.93 | $302.00 | $338.84 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $19.50 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $19.50 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $11.48 Median $19.05 Typical High $23.99 | Professional | None | $11.48 | $19.05 | $23.99 |
United Setting Professional Modifier RR · Rental Typical Low $1.15 Median $1.45 Typical High $2.14 | Professional | RR · Rental | $1.15 | $1.45 | $2.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $10.96 Typical High $21.38 | Professional | UE · Used equipment | $8.32 | $10.96 | $21.38 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.00 Median $2.00 Typical High $2.40 | Professional | MS · Maintenance fee | $2.00 | $2.00 | $2.40 |
Where Tennessee sits
The same service costs 2.6 times more in Hawaii than in Rhode Island. 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· 22nd of 51
$30.20
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.