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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $27.54 | Professional | None | $22.91 | $24.55 | $27.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $18.20 Typical High $19.05 | Professional | UE · Used equipment | $17.38 | $18.20 | $19.05 |
BCBS Tennessee Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | None | $26.30 | $26.30 | $31.62 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $3.39 | Professional | RR · Rental | $2.63 | $2.63 | $3.39 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $25.12 | Professional | UE · Used equipment | $19.50 | $19.50 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.30 | Facility | None | $25.12 | $25.12 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | None | $21.38 | $25.12 | $25.12 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | RR · Rental | $1.82 | $1.82 | $1.82 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | UE · Used equipment | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $29.51 | Professional | None | $14.45 | $20.42 | $29.51 |
United Setting Professional Modifier RR · Rental Typical Low $1.45 Median $2.00 Typical High $2.95 | Professional | RR · Rental | $1.45 | $2.00 | $2.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $15.14 Typical High $21.88 | Professional | UE · Used equipment | $10.96 | $15.14 | $21.88 |
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 $30.20 Median $30.20 Typical High $33.88 | Professional | KE · Bid item, non-bid base | $30.20 | $30.20 | $33.88 |
Where Tennessee sits
The same service costs 2.1 times more in Wisconsin 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· 35th of 51
$25.12
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.