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 $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $77.62 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 26 · Professional part | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $66.07 | $81.28 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $60.26 | $89.13 | $173.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $13.80 | $19.05 | $32.36 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $53.70 | $72.44 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $331.13 | Facility | None | $134.90 | $181.97 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $69.18 | $85.11 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $33.11 | Professional | 26 · Professional part | $12.02 | $17.38 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $72.44 | $151.36 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $616.60 | $616.60 | $870.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $741.31 | Professional | TC · Technical part | $512.86 | $512.86 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $186.21 | Professional | None (both parts) | $67.61 | $87.10 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $17.38 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $51.29 | $72.44 | $158.49 |
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 $38.90 Median $39.81 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $19.05 | Professional | 53 · Discontinued | $15.49 | $15.85 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | FX · Film X-ray | $61.66 | $61.66 | $72.44 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska than in New York. 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· 25th of 51
$107
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.