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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $21.38 | Professional | None | $19.05 | $19.95 | $21.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $15.14 Typical High $15.85 | Professional | UE · Used equipment | $14.13 | $15.14 | $15.85 |
BCBS Tennessee Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $25.12 | Professional | None | $19.50 | $19.50 | $25.12 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $2.51 | Professional | RR · Rental | $1.95 | $1.95 | $2.51 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $19.05 | Professional | UE · Used equipment | $14.79 | $14.79 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $22.39 | Facility | None | $21.38 | $21.38 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $21.38 | Professional | None | $17.78 | $21.38 | $21.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $1.38 | $1.38 | $1.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | UE · Used equipment | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $23.44 | Professional | None | $10.96 | $15.85 | $23.44 |
United Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.58 Typical High $2.34 | Professional | RR · Rental | $1.10 | $1.58 | $2.34 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $12.02 Typical High $17.38 | Professional | UE · Used equipment | $8.32 | $12.02 | $17.38 |
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 $22.91 Median $22.91 Typical High $26.92 | Professional | KE · Bid item, non-bid base | $22.91 | $22.91 | $26.92 |
Where Tennessee sits
The same service costs 2.3 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
$19.50
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.