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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $158.49 | Professional | None | $125.89 | $134.90 | $158.49 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $100.00 Typical High $104.71 | Professional | UE · Used equipment | $95.50 | $100.00 | $104.71 |
BCBS Tennessee Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | None | $162.18 | $162.18 | $181.97 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | RR · Rental | $16.22 | $16.22 | $20.89 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | UE · Used equipment | $120.23 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $128.82 | Facility | None | $123.03 | $123.03 | $128.82 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $12.88 | Facility | RR · Rental | $12.30 | $12.30 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | None | $104.71 | $123.03 | $123.03 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | RR · Rental | $10.47 | $12.30 | $12.30 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $177.83 | Professional | None | $79.43 | $112.20 | $177.83 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $11.22 Typical High $17.78 | Professional | RR · Rental | $7.94 | $11.22 | $17.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $85.11 Typical High $134.90 | Professional | UE · Used equipment | $60.26 | $85.11 | $134.90 |
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 $186.21 Median $186.21 Typical High $194.98 | Professional | KE · Bid item, non-bid base | $186.21 | $186.21 | $194.98 |
Where Tennessee sits
The same service costs 3.1 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· 43rd of 51
$126
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.