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 $331.13 Typical High $794.33 | Facility | None | $275.42 | $331.13 | $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 $275.42 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $275.42 | $316.23 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $85.11 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $229.09 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $208.93 | $524.81 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $134.90 | $165.96 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $245.47 | $354.81 | $851.14 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $77.62 | $104.71 | $181.97 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $281.84 Typical High $707.95 | Professional | TC · Technical part | $165.96 | $281.84 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,023.29 | Facility | None | $457.09 | $741.31 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $831.76 | Professional | None (both parts) | $204.17 | $338.84 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $645.65 | Professional | TC · Technical part | $144.54 | $257.04 | $645.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $2,884.03 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $870.96 Typical High $870.96 | Professional | 26 · Professional part | $660.69 | $870.96 | $870.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,454.71 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $2,454.71 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $691.83 | Professional | None (both parts) | $275.42 | $436.52 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $190.55 | $309.03 | $549.54 |
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 $138.04 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | FX · Film X-ray | $218.78 | $218.78 | $295.12 |
Where Tennessee sits
The same service costs 5.9 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· 17th of 51
$479
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.