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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $22.39 | Professional | None | $16.98 | $20.89 | $22.39 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $15.85 Typical High $16.60 | Professional | UE · Used equipment | $12.88 | $15.85 | $16.60 |
BCBS Tennessee Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | None | $21.88 | $21.88 | $27.54 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $2.82 | Professional | RR · Rental | $2.19 | $2.19 | $2.82 |
BCBS Tennessee Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | UE · Used equipment | $16.22 | $16.22 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Facility | None | $22.39 | $22.39 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | None | $19.05 | $22.39 | $22.39 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | RR · Rental | $1.51 | $1.51 | $1.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | UE · Used equipment | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $25.70 | Professional | None | $12.02 | $17.38 | $25.70 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.74 Typical High $2.57 | Professional | RR · Rental | $1.23 | $1.74 | $2.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $13.18 Typical High $19.05 | Professional | UE · Used equipment | $9.12 | $13.18 | $19.05 |
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 $25.12 Median $25.12 Typical High $30.20 | Professional | KE · Bid item, non-bid base | $25.12 | $25.12 | $30.20 |
Where Tennessee sits
The same service costs 2.4 times more in Hawaii 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· 45th of 51
$21.38
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.