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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $37.15 | Professional | None | $30.90 | $33.11 | $37.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $24.55 Typical High $26.30 | Professional | UE · Used equipment | $23.44 | $24.55 | $26.30 |
BCBS Tennessee Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | None | $31.62 | $31.62 | $40.74 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.16 Typical High $3.98 | Professional | RR · Rental | $3.16 | $3.16 | $3.98 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | UE · Used equipment | $23.44 | $23.44 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $25.70 | Facility | None | $24.55 | $24.55 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | None | $20.89 | $24.55 | $24.55 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | RR · Rental | $2.19 | $2.19 | $2.19 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | UE · Used equipment | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $38.02 | Professional | None | $17.38 | $26.30 | $38.02 |
United Setting Professional Modifier RR · Rental Typical Low $1.74 Median $2.63 Typical High $3.80 | Professional | RR · Rental | $1.74 | $2.63 | $3.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.18 Median $19.95 Typical High $28.84 | Professional | UE · Used equipment | $13.18 | $19.95 | $28.84 |
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 $36.31 Median $36.31 Typical High $43.65 | Professional | KE · Bid item, non-bid base | $36.31 | $36.31 | $43.65 |
Where Tennessee sits
The same service costs 10.0 times more in Kansas 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· 47th of 51
$26.30
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.