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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $30.20 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | 26 · Professional part | $7.59 | $7.59 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $22.91 | $23.44 | $30.90 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.02 Typical High $74.13 | Professional | None (both parts) | $25.70 | $38.02 | $74.13 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $19.05 | Professional | 26 · Professional part | $7.94 | $10.96 | $19.05 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $28.84 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $67.61 Typical High $151.36 | Facility | None | $61.66 | $67.61 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $70.79 | Professional | None (both parts) | $29.51 | $37.15 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.00 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $26.30 | $54.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $251.19 | $251.19 | $338.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $54.95 | $72.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $194.98 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $70.79 | Professional | None (both parts) | $32.36 | $37.15 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $8.51 | $10.00 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $27.54 | $53.70 |
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 $15.14 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $6.31 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | FX · Film X-ray | $24.55 | $24.55 | $29.51 |
Where Tennessee sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$44.67
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.