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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $794.33 Typical High $831.76 | Professional | UE · Used equipment | $741.31 | $794.33 | $831.76 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,071.52 | $1,348.96 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $107.15 Median $107.15 Typical High $263.03 | Professional | RR · Rental | $107.15 | $107.15 | $263.03 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | UE · Used equipment | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $831.76 | Facility | None | $794.33 | $794.33 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | None | $676.08 | $794.33 | $794.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | UE · Used equipment | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,995.26 | Professional | None | $691.83 | $977.24 | $1,995.26 |
United Setting Professional Modifier RR · Rental Typical Low $69.18 Median $97.72 Typical High $199.53 | Professional | RR · Rental | $69.18 | $97.72 | $199.53 |
United Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $724.44 Typical High $1,513.56 | Professional | UE · Used equipment | $524.81 | $724.44 | $1,513.56 |
2 more rates 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 KC · Wheelchair interface replaced Typical Low $2,041.74 Median $2,041.74 Typical High $2,630.27 | Professional | KC · Wheelchair interface replaced | $2,041.74 | $2,041.74 | $2,630.27 |
BCBS Tennessee Setting Professional Modifier KE · Bid item, non-bid base Typical Low $1,230.27 Median $1,230.27 Typical High $1,479.11 | Professional | KE · Bid item, non-bid base | $1,230.27 | $1,230.27 | $1,479.11 |
Where Tennessee sits
The same service costs 7.6 times more in Kansas 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· 33rd of 51
$977
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.