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 $77.62 Median $77.62 Typical High $123.03 | Facility | None | $77.62 | $77.62 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $91.20 | Professional | None | $75.86 | $77.62 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | None | $89.13 | $131.83 | $131.83 |
BCBS Tennessee Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | None | $102.33 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $131.83 | Facility | None | $114.82 | $114.82 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,258.93 | Professional | None | $870.96 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Facility | None | $72.44 | $72.44 | $89.13 |
United Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $100.00 | Professional | None | $54.95 | $81.28 | $100.00 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Where Tennessee sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 46th of 51
$85.11
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.