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 $30.20 Typical High $35.48 | Professional | None (both parts) | $30.20 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | 26 · Professional part | $6.92 | $6.92 | $8.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | TC · Technical part | $22.91 | $23.99 | $28.18 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $26.30 | $40.74 | $75.86 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $18.62 | Professional | 26 · Professional part | $7.76 | $10.72 | $18.62 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $22.39 | $31.62 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $120.23 | Facility | None | $61.66 | $70.79 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $28.84 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $6.46 | $9.55 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $28.18 | $54.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $245.47 | $245.47 | $316.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $190.55 | $190.55 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $33.11 | $38.90 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $8.13 | $9.55 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $24.55 | $29.51 | $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 $15.49 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.17 Typical High $7.59 | Professional | 53 · Discontinued | $6.03 | $6.17 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $23.99 | $28.84 |
Where Tennessee sits
The same service costs 3.7 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· 21st of 51
$46.77
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.