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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.49 Typical High $14.13 | Professional | None | $12.59 | $13.49 | $14.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9.55 Median $10.00 Typical High $10.47 | Professional | UE · Used equipment | $9.55 | $10.00 | $10.47 |
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 $10.96 Median $10.96 Typical High $14.13 | Professional | UE · Used equipment | $10.96 | $10.96 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $14.45 | Facility | None | $13.80 | $13.80 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $13.80 | Professional | None | $11.75 | $13.80 | $13.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | RR · Rental | $1.02 | $1.02 | $1.02 |
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 $11.75 Typical High $16.98 | Professional | None | $8.32 | $11.75 | $16.98 |
United Setting Professional Modifier RR · Rental Typical Low $0.81 Median $1.17 Typical High $1.70 | Professional | RR · Rental | $0.81 | $1.17 | $1.70 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.17 Median $8.91 Typical High $12.59 | Professional | UE · Used equipment | $6.17 | $8.91 | $12.59 |
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 $16.98 Median $16.98 Typical High $19.50 | Professional | KE · Bid item, non-bid base | $16.98 | $16.98 | $19.50 |
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· 41st of 51
$13.80
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.