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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $41.69 Typical High $43.65 | Professional | None | $23.99 | $41.69 | $43.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $30.90 Typical High $33.11 | Professional | UE · Used equipment | $17.78 | $30.90 | $33.11 |
BCBS Tennessee Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | None | $40.74 | $40.74 | $51.29 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.17 Typical High $5.37 | Professional | RR · Rental | $4.17 | $4.17 | $5.37 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | UE · Used equipment | $30.20 | $30.20 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $46.77 | Facility | None | $44.67 | $44.67 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.95 Median $2.95 Typical High $5.25 | Professional | RR · Rental | $2.95 | $2.95 | $5.25 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $45.71 | Professional | None | $22.91 | $33.11 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.31 Typical High $4.68 | Professional | RR · Rental | $2.34 | $3.31 | $4.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $24.55 Typical High $34.67 | Professional | UE · Used equipment | $16.98 | $24.55 | $34.67 |
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 $46.77 Median $46.77 Typical High $56.23 | Professional | KE · Bid item, non-bid base | $46.77 | $46.77 | $56.23 |
Where Tennessee sits
The same service costs 3.8 times more in Hawaii 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· 42nd of 51
$40.74
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.