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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $38.02 | Professional | None | $33.88 | $36.31 | $38.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $26.92 Typical High $28.84 | Professional | UE · Used equipment | $25.70 | $26.92 | $28.84 |
BCBS Tennessee Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | None | $36.31 | $36.31 | $45.71 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.63 Typical High $4.68 | Professional | RR · Rental | $3.63 | $3.63 | $4.68 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | UE · Used equipment | $26.92 | $26.92 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $39.81 | Facility | None | $38.02 | $38.02 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | None | $32.36 | $38.02 | $38.02 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $42.66 | Professional | None | $20.42 | $29.51 | $42.66 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.88 Typical High $4.27 | Professional | RR · Rental | $2.04 | $2.88 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $21.88 Typical High $32.36 | Professional | UE · Used equipment | $15.14 | $21.88 | $32.36 |
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 $48.98 | Professional | KE · Bid item, non-bid base | $41.69 | $41.69 | $48.98 |
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· 43rd of 51
$36.31
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.