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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $75.86 | Professional | None | $50.12 | $66.07 | $75.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $50.12 Typical High $52.48 | Professional | UE · Used equipment | $37.15 | $50.12 | $52.48 |
BCBS Tennessee Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | None | $85.11 | $85.11 | $93.33 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $10.96 | Professional | RR · Rental | $8.51 | $8.51 | $10.96 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | UE · Used equipment | $64.57 | $64.57 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $70.79 | Facility | None | $60.26 | $60.26 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | None | $51.29 | $60.26 | $60.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $95.50 | Professional | None | $39.81 | $56.23 | $95.50 |
United Setting Professional Modifier RR · Rental Typical Low $3.98 Median $5.50 Typical High $9.55 | Professional | RR · Rental | $3.98 | $5.50 | $9.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $41.69 Typical High $70.79 | Professional | UE · Used equipment | $29.51 | $41.69 | $70.79 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | KE · Bid item, non-bid base | $100.00 | $100.00 | $100.00 |
Where Tennessee sits
The same service costs 2.9 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
$63.10
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.