How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $1,000.00 Typical High $1,047.13 | Professional | UE · Used equipment | $933.25 | $1,000.00 | $1,047.13 |
BCBS Tennessee Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,318.26 | $1,318.26 | $1,698.24 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | RR · Rental | $131.83 | $131.83 | $169.82 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | UE · Used equipment | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | UE · Used equipment | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,513.56 | Professional | None | $707.95 | $1,047.13 | $1,513.56 |
United Setting Professional Modifier RR · Rental Typical Low $70.79 Median $104.71 Typical High $151.36 | Professional | RR · Rental | $70.79 | $104.71 | $151.36 |
United Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $794.33 Typical High $1,122.02 | Professional | UE · Used equipment | $537.03 | $794.33 | $1,122.02 |
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 $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | KE · Bid item, non-bid base | $1,548.82 | $1,548.82 | $1,862.09 |
Where Tennessee sits
The same service costs 10.5 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· 38th of 51
$1,318
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.