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 $41.69 | Professional | None | $35.48 | $37.15 | $41.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $27.54 Typical High $29.51 | Professional | UE · Used equipment | $26.30 | $27.54 | $29.51 |
BCBS Tennessee Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | None | $38.02 | $38.02 | $46.77 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $4.90 | Professional | RR · Rental | $3.80 | $3.80 | $4.90 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | UE · Used equipment | $28.18 | $28.18 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Facility | None | $38.90 | $38.90 | $40.74 |
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 $2.69 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.69 | $2.69 | $2.69 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $44.67 | Professional | None | $21.38 | $30.20 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.14 Median $3.09 Typical High $4.47 | Professional | RR · Rental | $2.14 | $3.09 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $22.91 Typical High $33.88 | Professional | UE · Used equipment | $15.85 | $22.91 | $33.88 |
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 $43.65 Median $43.65 Typical High $50.12 | Professional | KE · Bid item, non-bid base | $43.65 | $43.65 | $50.12 |
Where Tennessee sits
The same service costs 2.2 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· 44th of 51
$38.02
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.