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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $4,365.16 | Professional | None | $3,981.07 | $4,168.69 | $4,365.16 |
BCBS Tennessee Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,165.95 | Professional | None | $5,888.44 | $5,888.44 | $6,165.95 |
BCBS Tennessee Setting Professional Modifier RR · Rental Typical Low $588.84 Median $588.84 Typical High $616.60 | Professional | RR · Rental | $588.84 | $588.84 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,466.84 | Facility | None | $4,265.80 | $4,265.80 | $4,466.84 |
Cigna Setting Facility Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | RR · Rental | $426.58 | $426.58 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $363.08 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $3,981.07 | Professional | None | $1,778.28 | $2,290.87 | $3,981.07 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $331.13 Typical High $478.63 | Professional | RR · Rental | $218.78 | $331.13 | $478.63 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,951.21 Median $3,090.30 Typical High $3,311.31 | Professional | UE · Used equipment | $2,951.21 | $3,090.30 | $3,311.31 |
Where Tennessee sits
The same service costs 11.0 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· 20th of 51
$4,169
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.