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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $467.74 | Professional | None | $407.38 | $446.68 | $467.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $338.84 Typical High $354.81 | Professional | UE · Used equipment | $309.03 | $338.84 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
BCBS Tennessee Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $660.69 | Professional | None | $575.44 | $575.44 | $660.69 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | RR · Rental | $57.54 | $57.54 | $77.62 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $436.52 Typical High $436.52 | Professional | UE · Used equipment | $380.19 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $478.63 | Facility | None | $457.09 | $457.09 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | None | $389.05 | $457.09 | $457.09 |
Cigna Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $645.65 | Professional | None | $245.47 | $331.13 | $645.65 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $39.81 Typical High $64.57 | Professional | RR · Rental | $28.84 | $39.81 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $245.47 Typical High $478.63 | Professional | UE · Used equipment | $181.97 | $245.47 | $478.63 |
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 $660.69 Median $660.69 Typical High $724.44 | Professional | KE · Bid item, non-bid base | $660.69 | $660.69 | $724.44 |
Where Tennessee sits
The same service costs 2.9 times more in Hawaii than in Montana. 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· 32nd of 51
$457
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.