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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $57.54 Typical High $66.07 | Professional | None | $35.48 | $57.54 | $66.07 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $42.66 Typical High $44.67 | Professional | UE · Used equipment | $26.30 | $42.66 | $44.67 |
BCBS Tennessee Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None | $66.07 | $66.07 | $77.62 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | RR · Rental | $6.61 | $6.61 | $8.51 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | UE · Used equipment | $50.12 | $50.12 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $64.57 | Facility | None | $56.23 | $56.23 | $64.57 |
Cigna Setting Facility Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $6.76 | Facility | RR · Rental | $5.62 | $5.62 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | None | $47.86 | $56.23 | $56.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.62 Typical High $5.62 | Professional | RR · Rental | $4.79 | $5.62 | $5.62 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | UE · Used equipment | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $74.13 | Professional | None | $34.67 | $48.98 | $74.13 |
United Setting Professional Modifier RR · Rental Typical Low $3.47 Median $4.90 Typical High $7.41 | Professional | RR · Rental | $3.47 | $4.90 | $7.41 |
United Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $37.15 Typical High $56.23 | Professional | UE · Used equipment | $26.30 | $37.15 | $56.23 |
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 $77.62 Median $77.62 Typical High $85.11 | Professional | KE · Bid item, non-bid base | $77.62 | $77.62 | $85.11 |
Where Tennessee sits
The same service costs 2.3 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· 43rd of 51
$56.23
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.