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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $309.03 | Professional | None | $281.84 | $295.12 | $309.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $218.78 Typical High $234.42 | Professional | UE · Used equipment | $208.93 | $218.78 | $234.42 |
BCBS Tennessee Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None | $323.59 | $323.59 | $426.58 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | RR · Rental | $32.36 | $32.36 | $43.65 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $223.87 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
Cigna Setting Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $34.67 | Facility | RR · Rental | $33.11 | $33.11 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $28.18 | $33.11 | $33.11 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $363.08 | Professional | None | $173.78 | $234.42 | $363.08 |
United Setting Professional Modifier RR · Rental Typical Low $18.20 Median $25.70 Typical High $37.15 | Professional | RR · Rental | $18.20 | $25.70 | $37.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $173.78 Typical High $269.15 | Professional | UE · Used equipment | $128.82 | $173.78 | $269.15 |
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 $371.54 Median $371.54 Typical High $457.09 | Professional | KE · Bid item, non-bid base | $371.54 | $371.54 | $457.09 |
Where Tennessee sits
The same service costs 2.4 times more in Hawaii than in Utah. 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· 40th of 51
$302
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.