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 $27.54 Median $33.88 Typical High $36.31 | Professional | None | $27.54 | $33.88 | $36.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $25.70 Typical High $26.92 | Professional | UE · Used equipment | $24.55 | $25.70 | $26.92 |
BCBS Tennessee Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | None | $38.90 | $38.90 | $46.77 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $5.01 | Professional | RR · Rental | $3.89 | $3.89 | $5.01 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | UE · Used equipment | $29.51 | $29.51 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $36.31 | Facility | None | $34.67 | $34.67 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | None | $29.51 | $34.67 | $34.67 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $2.75 | $2.75 | $2.75 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $43.65 | Professional | None | $21.38 | $30.20 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $2.14 Median $3.02 Typical High $4.37 | Professional | RR · Rental | $2.14 | $3.02 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $22.39 Typical High $33.11 | Professional | UE · Used equipment | $15.85 | $22.39 | $33.11 |
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 $45.71 Median $45.71 Typical High $50.12 | Professional | KE · Bid item, non-bid base | $45.71 | $45.71 | $50.12 |
Where Tennessee sits
The same service costs 2.8 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· 39th 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.