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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $257.04 | Professional | None | $199.53 | $208.93 | $257.04 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $158.49 Typical High $165.96 | Professional | UE · Used equipment | $134.90 | $158.49 | $165.96 |
BCBS Tennessee Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | None | $251.19 | $251.19 | $288.40 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | RR · Rental | $25.12 | $25.12 | $32.36 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | UE · Used equipment | $186.21 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | None | $173.78 | $204.17 | $204.17 |
Cigna Setting Professional Modifier RR · Rental Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | RR · Rental | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | UE · Used equipment | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $275.42 | Professional | None | $131.83 | $186.21 | $275.42 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $18.62 Typical High $27.54 | Professional | RR · Rental | $13.18 | $18.62 | $27.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $138.04 Typical High $208.93 | Professional | UE · Used equipment | $97.72 | $138.04 | $208.93 |
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 $288.40 Median $288.40 Typical High $309.03 | Professional | KE · Bid item, non-bid base | $288.40 | $288.40 | $309.03 |
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· 45th of 51
$204
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.