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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $64.57 | Professional | None | $47.86 | $51.29 | $64.57 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $38.02 Typical High $40.74 | Professional | UE · Used equipment | $36.31 | $38.02 | $40.74 |
BCBS Tennessee Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | None | $50.12 | $50.12 | $63.10 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $6.31 | Professional | RR · Rental | $5.01 | $5.01 | $6.31 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | UE · Used equipment | $37.15 | $37.15 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $63.10 | Facility | None | $53.70 | $53.70 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | None | $45.71 | $53.70 | $53.70 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | UE · Used equipment | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $58.88 | Professional | None | $27.54 | $40.74 | $58.88 |
United Setting Professional Modifier RR · Rental Typical Low $2.75 Median $4.07 Typical High $5.89 | Professional | RR · Rental | $2.75 | $4.07 | $5.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $30.20 Typical High $44.67 | Professional | UE · Used equipment | $20.89 | $30.20 | $44.67 |
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 $57.54 Median $57.54 Typical High $67.61 | Professional | KE · Bid item, non-bid base | $57.54 | $57.54 | $67.61 |
Where Tennessee sits
The same service costs 2.3 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· 45th of 51
$50.12
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.