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 $549.54 Typical High $794.33 | Facility | None | $275.42 | $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 $275.42 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $275.42 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $75.86 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $363.08 | Professional | TC · Technical part | $204.17 | $218.78 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $169.82 | $169.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $257.04 | $371.54 | $724.44 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $107.15 | $186.21 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $302.00 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $1,071.52 | Facility | None | $501.19 | $758.58 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $912.01 | Professional | None (both parts) | $229.09 | $371.54 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $64.57 | $100.00 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $269.15 Typical High $676.08 | Professional | TC · Technical part | $162.18 | $269.15 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | 26 · Professional part | $575.44 | $575.44 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $302.00 | $426.58 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $100.00 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $309.03 | $524.81 |
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 $138.04 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | FX · Film X-ray | $218.78 | $218.78 | $295.12 |
Where Tennessee sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$417
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.