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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $1,047.13 | Professional | None | $776.25 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $616.60 Typical High $660.69 | Professional | UE · Used equipment | $588.84 | $616.60 | $660.69 |
BCBS Tennessee Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,096.48 | Professional | None | $891.25 | $891.25 | $1,096.48 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | RR · Rental | $89.13 | $89.13 | $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 $870.96 Median $870.96 Typical High $912.01 | Facility | None | $870.96 | $870.96 | $912.01 |
Cigna Setting Facility Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $91.20 | Facility | RR · Rental | $87.10 | $87.10 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | None | $741.31 | $870.96 | $870.96 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $74.13 | $87.10 | $87.10 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | UE · Used equipment | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,000.00 | Professional | None | $467.74 | $676.08 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $46.77 Median $67.61 Typical High $100.00 | Professional | RR · Rental | $46.77 | $67.61 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $501.19 Typical High $741.31 | Professional | UE · Used equipment | $354.81 | $501.19 | $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 $1,174.90 | Professional | KE · Bid item, non-bid base | $1,023.29 | $1,023.29 | $1,174.90 |
Where Tennessee sits
The same service costs 8.7 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· 37th of 51
$832
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.