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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $39.81 | Professional | None | $36.31 | $38.02 | $39.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $28.18 Typical High $30.20 | Professional | UE · Used equipment | $26.92 | $28.18 | $30.20 |
BCBS Tennessee Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None | $38.02 | $38.02 | $47.86 |
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 $39.81 Median $39.81 Typical High $41.69 | Facility | None | $39.81 | $39.81 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | None | $33.88 | $39.81 | $39.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
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 $20.89 Median $30.20 Typical High $44.67 | Professional | None | $20.89 | $30.20 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.14 Median $3.02 Typical High $4.47 | Professional | RR · Rental | $2.14 | $3.02 | $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 $51.29 | Professional | KE · Bid item, non-bid base | $43.65 | $43.65 | $51.29 |
Where Tennessee sits
The same service costs 3.4 times more in Wisconsin than in Kansas. 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.