How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $87.10 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $34.67 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $56.23 | $89.13 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $77.62 | $120.23 | $223.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $50.12 | $85.11 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $44.67 | $77.62 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $891.25 | Facility | None | $141.25 | $199.53 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $288.40 | Professional | None (both parts) | $85.11 | $123.03 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $45.71 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $213.80 | Professional | TC · Technical part | $52.48 | $74.13 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $95.50 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $45.71 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $79.43 | $154.88 |
3 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 Professional Modifier 52 · Reduced service Typical Low $43.65 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $43.65 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $70.79 | $70.79 | $77.62 |
Where Tennessee sits
The same service costs 4.3 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· 20th of 51
$155
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.