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 $158.49 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $158.49 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $45.71 | $54.95 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $109.65 | $218.78 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $81.28 | $97.72 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $43.65 | $69.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $64.57 | $169.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $363.08 | Professional | None (both parts) | $117.49 | $173.78 | $363.08 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $58.88 | $102.33 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $131.83 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $478.63 | Facility | None | $204.17 | $380.19 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $398.11 | Professional | None (both parts) | $95.50 | $173.78 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $52.48 Typical High $107.15 | Professional | 26 · Professional part | $30.90 | $52.48 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $288.40 | Professional | TC · Technical part | $64.57 | $120.23 | $288.40 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,380.38 | $1,513.56 | $1,513.56 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $128.82 | $208.93 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $138.04 | $234.42 |
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 $74.13 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $74.13 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $29.51 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $123.03 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $114.82 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 4.9 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· 10th of 51
$275
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.