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 $162.18 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $162.18 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $54.95 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $218.78 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $162.18 | $162.18 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $48.98 | $79.43 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $125.89 | $199.53 | $380.19 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $64.57 | $104.71 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $81.28 | $147.91 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $467.74 Typical High $645.65 | Facility | None | $194.98 | $467.74 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $186.21 Typical High $426.58 | Professional | None (both parts) | $97.72 | $186.21 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $57.54 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $295.12 | Professional | TC · Technical part | $61.66 | $120.23 | $295.12 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $144.54 | $229.09 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $58.88 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $95.50 | $151.36 | $239.88 |
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 $81.28 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $81.28 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $32.36 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $138.04 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $128.82 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 5.0 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
$282
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.