How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $275.42 Median $323.59 Typical High $794.33 | Facility | None | $275.42 | $323.59 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $416.87 | Facility | TC · Technical part | $218.78 | $371.54 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $194.98 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $64.57 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $218.78 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $416.87 | Professional | None (both parts) | $117.49 | $162.18 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $70.79 | $120.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $154.88 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $154.88 | $251.19 | $467.74 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $77.62 | $131.83 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $95.50 | $186.21 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $602.56 Typical High $831.76 | Facility | None | $234.42 | $602.56 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $478.63 | Professional | None (both parts) | $120.23 | $223.87 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $72.44 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $74.13 | $144.54 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,479.11 | $1,778.28 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $489.78 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,174.90 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $186.21 | $257.04 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $123.03 | $177.83 | $288.40 |
8 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 Facility Modifier 52 · Reduced service Typical Low $158.49 Median $190.55 Typical High $208.93 | Facility | 52 · Reduced service | $158.49 | $190.55 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $83.18 | Facility | 53 · Discontinued | $63.10 | $75.86 | $83.18 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $269.15 Median $323.59 Typical High $354.81 | Facility | CT · Older CT scanner | $269.15 | $323.59 | $354.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $302.00 Typical High $331.13 | Facility | FX · Film X-ray | $257.04 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $91.20 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $36.31 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $151.36 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $144.54 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 6.2 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· 13th of 51
$316
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.