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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $602.56 | Professional | None | $512.86 | $537.03 | $602.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $407.38 Typical High $426.58 | Professional | UE · Used equipment | $380.19 | $407.38 | $426.58 |
BCBS Tennessee Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $776.25 | Professional | None | $616.60 | $616.60 | $776.25 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $83.18 | Professional | RR · Rental | $61.66 | $61.66 | $83.18 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | UE · Used equipment | $416.87 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | None | $407.38 | $407.38 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None | $346.74 | $407.38 | $407.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | UE · Used equipment | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $691.83 | Professional | None | $302.00 | $389.05 | $691.83 |
United Setting Professional Modifier RR · Rental Typical Low $33.88 Median $46.77 Typical High $69.18 | Professional | RR · Rental | $33.88 | $46.77 | $69.18 |
United Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $295.12 Typical High $512.86 | Professional | UE · Used equipment | $223.87 | $295.12 | $512.86 |
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 $707.95 Median $707.95 Typical High $831.76 | Professional | KE · Bid item, non-bid base | $707.95 | $707.95 | $831.76 |
Where Tennessee sits
The same service costs 3.0 times more in Hawaii 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· 39th of 51
$427
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.