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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $45.71 | Professional | None | $38.90 | $41.69 | $45.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $30.90 Typical High $32.36 | Professional | UE · Used equipment | $29.51 | $30.90 | $32.36 |
BCBS Tennessee Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None | $47.86 | $47.86 | $57.54 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | RR · Rental | $5.13 | $5.13 | $6.61 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | UE · Used equipment | $35.48 | $35.48 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $44.67 | Facility | None | $42.66 | $42.66 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | None | $36.31 | $42.66 | $42.66 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | RR · Rental | $3.55 | $3.55 | $3.55 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | UE · Used equipment | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $53.70 | Professional | None | $25.12 | $35.48 | $53.70 |
United Setting Professional Modifier RR · Rental Typical Low $2.57 Median $3.63 Typical High $5.75 | Professional | RR · Rental | $2.57 | $3.63 | $5.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $26.30 Typical High $39.81 | Professional | UE · Used equipment | $19.05 | $26.30 | $39.81 |
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 $54.95 Median $54.95 Typical High $61.66 | Professional | KE · Bid item, non-bid base | $54.95 | $54.95 | $61.66 |
Where Tennessee sits
The same service costs 5.0 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· 37th of 51
$42.66
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.