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 $309.03 Median $549.54 Typical High $794.33 | Facility | None | $309.03 | $549.54 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $380.19 Typical High $416.87 | Facility | TC · Technical part | $316.23 | $380.19 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $239.88 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $54.95 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $173.78 | $218.78 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $54.95 | $64.57 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $194.98 | $295.12 | $562.34 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $75.86 | $131.83 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $134.90 | $234.42 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $741.31 Typical High $1,023.29 | Facility | None | $323.59 | $741.31 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $147.91 | $281.84 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $70.79 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $194.98 Typical High $478.63 | Professional | TC · Technical part | $102.33 | $194.98 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,344.23 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | TC · Technical part | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $213.80 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $70.79 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $151.36 | $239.88 | $363.08 |
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 $125.89 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $125.89 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $50.12 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $190.55 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 5.2 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· 17th of 51
$380
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.