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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $138.04 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $89.13 | $93.33 | $107.15 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $95.50 | $169.82 | $331.13 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $74.13 | $123.03 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $83.18 | $104.71 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $257.04 Typical High $977.24 | Facility | None | $223.87 | $257.04 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $316.23 | Professional | None (both parts) | $123.03 | $147.91 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $66.07 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $89.13 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | 26 · Professional part | $363.08 | $363.08 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | TC · Technical part | $741.31 | $741.31 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $120.23 | $165.96 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $66.07 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $60.26 | $104.71 | $199.53 |
3 more rates 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 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $27.54 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | FX · Film X-ray | $109.65 | $109.65 | $123.03 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 23rd of 51
$191
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.