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 $204.17 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $204.17 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $63.10 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $218.78 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $66.07 | $169.82 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $60.26 | $93.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $54.95 | $151.36 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $151.36 | $213.80 | $407.38 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $74.13 | $120.23 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $524.81 Typical High $724.44 | Facility | None | $263.03 | $524.81 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $234.42 Typical High $537.03 | Professional | None (both parts) | $125.89 | $234.42 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $128.82 | Professional | 26 · Professional part | $41.69 | $66.07 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $389.05 | Professional | TC · Technical part | $83.18 | $158.49 | $389.05 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $181.97 | $288.40 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $194.98 | $295.12 |
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 $97.72 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $97.72 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $39.81 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $165.96 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $158.49 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 5.9 times more in Vermont 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· 18th of 51
$324
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.