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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $109.65 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $28.18 | Professional | 26 · Professional part | $23.44 | $24.55 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $104.71 | Professional | TC · Technical part | $85.11 | $87.10 | $104.71 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $83.18 | $117.49 | $245.47 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $34.67 | $60.26 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $67.61 | $93.33 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $234.42 Typical High $602.56 | Facility | None | $204.17 | $234.42 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $97.72 | $120.23 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $21.88 | $30.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $89.13 | $181.97 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | None (both parts) | $870.96 | $870.96 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 26 · Professional part | $204.17 | $204.17 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | TC · Technical part | $691.83 | $691.83 | $912.01 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $100.00 | $123.03 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $31.62 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $95.50 | $190.55 |
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 $54.95 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $87.10 | $87.10 | $102.33 |
Where Tennessee sits
The same service costs 3.9 times more in Alaska than in New York. 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· 24th of 51
$145
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.