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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $104.71 | Professional | None | $57.54 | $87.10 | $104.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $66.07 Typical High $69.18 | Professional | UE · Used equipment | $43.65 | $66.07 | $69.18 |
BCBS Tennessee Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | None | $109.65 | $109.65 | $120.23 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | RR · Rental | $10.96 | $10.96 | $14.13 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | UE · Used equipment | $81.28 | $81.28 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $93.33 | Facility | None | $81.28 | $81.28 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | None | $69.18 | $81.28 | $81.28 |
Cigna Setting Professional Modifier RR · Rental Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | RR · Rental | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | UE · Used equipment | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $120.23 | Professional | None | $53.70 | $74.13 | $120.23 |
United Setting Professional Modifier RR · Rental Typical Low $5.37 Median $7.41 Typical High $12.02 | Professional | RR · Rental | $5.37 | $7.41 | $12.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $56.23 Typical High $91.20 | Professional | UE · Used equipment | $39.81 | $56.23 | $91.20 |
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 $125.89 Median $125.89 Typical High $131.83 | Professional | KE · Bid item, non-bid base | $125.89 | $125.89 | $131.83 |
Where Tennessee sits
The same service costs 3.0 times more in Kansas 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
$83.18
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.