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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $109.65 | Professional | None | $97.72 | $104.71 | $109.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $77.62 Typical High $83.18 | Professional | UE · Used equipment | $74.13 | $77.62 | $83.18 |
BCBS Tennessee Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | None | $107.15 | $107.15 | $138.04 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | RR · Rental | $10.72 | $10.72 | $13.80 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | UE · Used equipment | $81.28 | $81.28 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $117.49 | Facility | None | $112.20 | $112.20 | $117.49 |
Cigna Setting Facility Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $11.75 | Facility | RR · Rental | $11.22 | $11.22 | $11.75 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $87.10 | Facility | UE · Used equipment | $83.18 | $83.18 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | None | $95.50 | $112.20 | $112.20 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $9.55 | $11.22 | $11.22 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $70.79 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $128.82 | Professional | None | $60.26 | $87.10 | $128.82 |
United Setting Professional Modifier RR · Rental Typical Low $6.03 Median $8.71 Typical High $12.88 | Professional | RR · Rental | $6.03 | $8.71 | $12.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $64.57 Typical High $95.50 | Professional | UE · Used equipment | $45.71 | $64.57 | $95.50 |
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 $125.89 Median $125.89 Typical High $151.36 | Professional | KE · Bid item, non-bid base | $125.89 | $125.89 | $151.36 |
Where Tennessee sits
The same service costs 1.9 times more in Wisconsin 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· 42nd of 51
$105
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.