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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | None | $32.36 | $33.88 | $35.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $25.12 Typical High $26.92 | Professional | UE · Used equipment | $23.99 | $25.12 | $26.92 |
BCBS Tennessee Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $43.65 | Professional | None | $35.48 | $35.48 | $43.65 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.55 Typical High $4.57 | Professional | RR · Rental | $3.55 | $3.55 | $4.57 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | UE · Used equipment | $26.92 | $26.92 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $37.15 | Facility | None | $35.48 | $35.48 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | None | $29.51 | $35.48 | $35.48 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | UE · Used equipment | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $41.69 | Professional | None | $19.95 | $28.18 | $41.69 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.88 Typical High $4.17 | Professional | RR · Rental | $2.00 | $2.88 | $4.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $21.38 Typical High $31.62 | Professional | UE · Used equipment | $14.79 | $21.38 | $31.62 |
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 $41.69 Median $41.69 Typical High $46.77 | Professional | KE · Bid item, non-bid base | $41.69 | $41.69 | $46.77 |
Where Tennessee sits
The same service costs 2.5 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· 43rd of 51
$34.67
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.