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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $16.22 | Professional | None | $13.80 | $14.45 | $16.22 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.96 Typical High $11.48 | Professional | UE · Used equipment | $10.23 | $10.96 | $11.48 |
BCBS Tennessee Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | None | $14.13 | $14.13 | $17.78 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $1.41 Median $1.41 Typical High $1.78 | Professional | RR · Rental | $1.41 | $1.41 | $1.78 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | UE · Used equipment | $10.47 | $10.47 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $17.78 | Facility | None | $15.14 | $15.14 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | None | $12.88 | $15.14 | $15.14 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.48 Typical High $16.60 | Professional | None | $7.76 | $11.48 | $16.60 |
United Setting Professional Modifier RR · Rental Typical Low $0.78 Median $1.15 Typical High $1.66 | Professional | RR · Rental | $0.78 | $1.15 | $1.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $8.71 Typical High $12.59 | Professional | UE · Used equipment | $5.89 | $8.71 | $12.59 |
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 $16.22 Median $16.22 Typical High $19.50 | Professional | KE · Bid item, non-bid base | $16.22 | $16.22 | $19.50 |
Where Tennessee sits
The same service costs 2.3 times more in Kansas 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
$14.13
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.