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 $512.86 Median $776.25 Typical High $1,584.89 | Facility | None | $512.86 | $776.25 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $549.54 Typical High $1,148.15 | Facility | TC · Technical part | $537.03 | $549.54 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $758.58 Typical High $776.25 | Professional | None (both parts) | $501.19 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $154.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $398.11 | $691.83 | $691.83 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $338.84 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $338.84 | $549.54 | $1,023.29 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $194.98 Typical High $323.59 | Professional | 26 · Professional part | $128.82 | $194.98 | $323.59 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $389.05 Typical High $724.44 | Professional | TC · Technical part | $288.40 | $389.05 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $4,466.84 Typical High $6,165.95 | Facility | None | $2,290.87 | $4,466.84 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,202.26 Typical High $2,691.53 | Professional | None (both parts) | $831.76 | $1,202.26 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $331.13 | Professional | 26 · Professional part | $120.23 | $165.96 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,000.00 Typical High $2,398.83 | Professional | TC · Technical part | $758.58 | $1,000.00 | $2,398.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None (both parts) | $7,079.46 | $7,079.46 | $7,079.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,288.25 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $1,288.25 | $1,659.59 | $1,659.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | TC · Technical part | $6,918.31 | $6,918.31 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $588.84 Typical High $1,318.26 | Professional | None (both parts) | $389.05 | $588.84 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $147.91 | $173.78 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $446.68 Typical High $1,000.00 | Professional | TC · Technical part | $234.42 | $446.68 | $1,000.00 |
6 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 $269.15 Median $275.42 Typical High $575.44 | Facility | 52 · Reduced service | $269.15 | $275.42 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $229.09 | Facility | 53 · Discontinued | $107.15 | $109.65 | $229.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $426.58 Median $446.68 Typical High $933.25 | Facility | FX · Film X-ray | $426.58 | $446.68 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $257.04 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $102.33 | $154.88 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $616.60 Typical High $616.60 | Professional | FX · Film X-ray | $426.58 | $616.60 | $616.60 |
Where Tennessee sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 26th of 51
$776
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.