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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $52.48 | Professional | None | $46.77 | $48.98 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $37.15 Typical High $38.90 | Professional | UE · Used equipment | $34.67 | $37.15 | $38.90 |
BCBS Tennessee Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None | $57.54 | $57.54 | $67.61 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $7.41 | Professional | RR · Rental | $5.75 | $5.75 | $7.41 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | UE · Used equipment | $43.65 | $43.65 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $51.29 | Facility | None | $48.98 | $48.98 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | None | $41.69 | $48.98 | $48.98 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $64.57 | Professional | None | $30.90 | $42.66 | $64.57 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $4.27 Typical High $6.46 | Professional | RR · Rental | $3.09 | $4.27 | $6.46 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $32.36 Typical High $48.98 | Professional | UE · Used equipment | $22.91 | $32.36 | $48.98 |
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 $67.61 Median $67.61 Typical High $74.13 | Professional | KE · Bid item, non-bid base | $67.61 | $67.61 | $74.13 |
Where Tennessee sits
The same service costs 2.5 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· 44th of 51
$48.98
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.