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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $131.83 | Professional | None | $91.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $85.11 Typical High $89.13 | Professional | UE · Used equipment | $69.18 | $85.11 | $89.13 |
BCBS Tennessee Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | None | $131.83 | $131.83 | $162.18 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $17.38 | Professional | RR · Rental | $13.18 | $13.18 | $17.38 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | UE · Used equipment | $87.10 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $67.61 | Facility | None | $64.57 | $64.57 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | RR · Rental | $9.12 | $9.12 | $9.12 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $50.12 Median $77.62 Typical High $144.54 | Professional | None | $50.12 | $77.62 | $144.54 |
United Setting Professional Modifier RR · Rental Typical Low $6.92 Median $9.55 Typical High $14.79 | Professional | RR · Rental | $6.92 | $9.55 | $14.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $58.88 Typical High $107.15 | Professional | UE · Used equipment | $37.15 | $58.88 | $107.15 |
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 $151.36 Median $151.36 Typical High $173.78 | Professional | KE · Bid item, non-bid base | $151.36 | $151.36 | $173.78 |
Where Tennessee sits
The same service costs 5.1 times more in Kansas 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· 43rd of 51
$74.13
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.