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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $269.15 | Professional | None | $162.18 | $251.19 | $269.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $190.55 Typical High $199.53 | Professional | UE · Used equipment | $120.23 | $190.55 | $199.53 |
BCBS Tennessee Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | None | $302.00 | $302.00 | $346.74 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | RR · Rental | $30.20 | $30.20 | $38.90 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $295.12 | Professional | UE · Used equipment | $229.09 | $229.09 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | None | $208.93 | $245.47 | $245.47 |
Cigna Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $338.84 | Professional | None | $154.88 | $218.78 | $338.84 |
United Setting Professional Modifier RR · Rental Typical Low $15.49 Median $21.88 Typical High $33.88 | Professional | RR · Rental | $15.49 | $21.88 | $33.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $162.18 Typical High $251.19 | Professional | UE · Used equipment | $117.49 | $162.18 | $251.19 |
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 $354.81 Median $354.81 Typical High $380.19 | Professional | KE · Bid item, non-bid base | $354.81 | $354.81 | $380.19 |
Where Tennessee sits
The same service costs 2.7 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· 41st of 51
$245
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.