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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $74.13 | Professional | None | $38.90 | $64.57 | $74.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $48.98 Typical High $51.29 | Professional | UE · Used equipment | $29.51 | $48.98 | $51.29 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | RR · Rental | $8.91 | $8.91 | $8.91 |
BCBS Tennessee Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $7.24 Median $7.24 Typical High $9.33 | Professional | RR · Rental | $7.24 | $7.24 | $9.33 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | UE · Used equipment | $54.95 | $54.95 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $75.86 | Facility | None | $66.07 | $66.07 | $75.86 |
Cigna Setting Facility Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $8.13 | Facility | RR · Rental | $6.61 | $6.61 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | None | $56.23 | $66.07 | $66.07 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.61 Typical High $6.61 | Professional | RR · Rental | $5.62 | $6.61 | $6.61 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | UE · Used equipment | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $83.18 | Professional | None | $40.74 | $57.54 | $83.18 |
United Setting Professional Modifier RR · Rental Typical Low $4.07 Median $5.75 Typical High $8.32 | Professional | RR · Rental | $4.07 | $5.75 | $8.32 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $43.65 Typical High $61.66 | Professional | UE · Used equipment | $30.90 | $43.65 | $61.66 |
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 $85.11 Median $85.11 Typical High $95.50 | Professional | KE · Bid item, non-bid base | $85.11 | $85.11 | $95.50 |
Where Tennessee sits
The same service costs 2.5 times more in Kansas 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· 37th of 51
$66.07
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.