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 $446.68 Typical High $794.33 | Facility | None | $309.03 | $446.68 | $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 $213.80 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $213.80 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $58.88 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $218.78 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $93.33 | $114.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $162.18 | $251.19 | $467.74 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $72.44 | $125.89 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $109.65 | $190.55 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $831.76 | Facility | None | $263.03 | $660.69 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $125.89 | $239.88 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $67.61 | $131.83 |
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 $446.68 Median $446.68 Typical High $467.74 | Professional | 26 · Professional part | $446.68 | $446.68 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
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 $56.23 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $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 $107.15 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $107.15 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $42.66 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $177.83 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $165.96 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 5.5 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· 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.