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 $23.44 Median $33.88 Typical High $40.74 | Professional | None | $23.44 | $33.88 | $40.74 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.34 Typical High $3.55 | Professional | RR · Rental | $2.34 | $2.34 | $3.55 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $24.55 Typical High $26.30 | Professional | UE · Used equipment | $17.38 | $24.55 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
BCBS Tennessee Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | None | $43.65 | $43.65 | $47.86 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $5.62 | Professional | RR · Rental | $4.37 | $4.37 | $5.62 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | UE · Used equipment | $33.11 | $33.11 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $35.48 | Facility | None | $30.90 | $30.90 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $30.90 | Professional | None | $26.30 | $30.90 | $30.90 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $48.98 | Professional | None | $20.89 | $29.51 | $48.98 |
United Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.95 Typical High $4.90 | Professional | RR · Rental | $2.09 | $2.95 | $4.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $21.88 Typical High $36.31 | Professional | UE · Used equipment | $15.85 | $21.88 | $36.31 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | KE · Bid item, non-bid base | $51.29 | $51.29 | $51.29 |
Where Tennessee sits
The same service costs 2.8 times more in Kansas 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· 42nd of 51
$32.36
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.