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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $14.79 | Professional | None | $13.49 | $14.13 | $14.79 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $10.72 Typical High $11.22 | Professional | UE · Used equipment | $10.00 | $10.72 | $11.22 |
BCBS Tennessee Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | None | $14.79 | $14.79 | $18.20 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.48 Typical High $1.91 | Professional | RR · Rental | $1.48 | $1.48 | $1.91 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $11.22 Typical High $14.45 | Professional | UE · Used equipment | $11.22 | $11.22 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $15.14 | Facility | None | $14.45 | $14.45 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | None | $12.30 | $14.45 | $14.45 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | UE · Used equipment | $7.76 | $7.76 | $7.76 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $17.78 | Professional | None | $8.32 | $12.02 | $17.78 |
United Setting Professional Modifier RR · Rental Typical Low $0.83 Median $1.20 Typical High $1.74 | Professional | RR · Rental | $0.83 | $1.20 | $1.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $8.91 Typical High $13.18 | Professional | UE · Used equipment | $6.31 | $8.91 | $13.18 |
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 $17.38 Median $17.38 Typical High $19.50 | Professional | KE · Bid item, non-bid base | $17.38 | $17.38 | $19.50 |
Where Tennessee sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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
$14.45
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.