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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $46.77 | Professional | None | $35.48 | $37.15 | $46.77 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $28.18 Typical High $29.51 | Professional | UE · Used equipment | $26.30 | $28.18 | $29.51 |
BCBS Tennessee Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | None | $37.15 | $37.15 | $46.77 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.72 Median $3.72 Typical High $4.68 | Professional | RR · Rental | $3.72 | $3.72 | $4.68 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | UE · Used equipment | $27.54 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $44.67 | Facility | None | $38.90 | $38.90 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None | $33.11 | $38.90 | $38.90 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | UE · Used equipment | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $43.65 | Professional | None | $20.42 | $29.51 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.95 Typical High $4.37 | Professional | RR · Rental | $2.04 | $2.95 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $22.39 Typical High $32.36 | Professional | UE · Used equipment | $15.49 | $22.39 | $32.36 |
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 $42.66 Median $42.66 Typical High $50.12 | Professional | KE · Bid item, non-bid base | $42.66 | $42.66 | $50.12 |
Where Tennessee sits
The same service costs 2.3 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
$37.15
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.