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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $380.19 | Professional | None | $338.84 | $354.81 | $380.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $269.15 Typical High $281.84 | Professional | UE · Used equipment | $257.04 | $269.15 | $281.84 |
BCBS Tennessee Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | None | $416.87 | $416.87 | $489.78 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | RR · Rental | $41.69 | $41.69 | $52.48 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | UE · Used equipment | $309.03 | $309.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $407.38 | Facility | None | $354.81 | $354.81 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $354.81 | Professional | None | $302.00 | $354.81 | $354.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | UE · Used equipment | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $467.74 | Professional | None | $229.09 | $316.23 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $31.62 Typical High $46.77 | Professional | RR · Rental | $22.91 | $31.62 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $239.88 Typical High $346.74 | Professional | UE · Used equipment | $169.82 | $239.88 | $346.74 |
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 $478.63 Median $478.63 Typical High $524.81 | Professional | KE · Bid item, non-bid base | $478.63 | $478.63 | $524.81 |
Where Tennessee sits
The same service costs 2.7 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· 40th of 51
$355
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.