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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $91.20 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $34.67 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $58.88 | $75.86 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $74.13 | $117.49 | $218.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $52.48 | $87.10 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $47.86 | $75.86 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $190.55 Typical High $2,570.40 | Facility | None | $147.91 | $190.55 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $380.19 | Professional | None (both parts) | $87.10 | $125.89 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $45.71 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $316.23 | Professional | TC · Technical part | $53.70 | $75.86 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,041.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $346.74 | Professional | None (both parts) | $100.00 | $131.83 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $239.88 | Professional | TC · Technical part | $58.88 | $79.43 | $239.88 |
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 $45.71 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $18.20 | $18.62 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | FX · Film X-ray | $72.44 | $72.44 | $79.43 |
Where Tennessee sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 23rd 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.