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 $323.59 Typical High $794.33 | Facility | None | $275.42 | $323.59 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $416.87 | Facility | TC · Technical part | $218.78 | $371.54 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $162.18 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $54.95 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $218.78 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $131.83 | $158.49 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $51.29 | $79.43 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $60.26 | $100.00 | $223.87 |
BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $125.89 | $194.98 | $371.54 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $64.57 | $104.71 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $81.28 | $147.91 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $457.09 Typical High $645.65 | Facility | None | $194.98 | $457.09 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $407.38 | Professional | None (both parts) | $97.72 | $181.97 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $35.48 | $57.54 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $275.42 | Professional | TC · Technical part | $61.66 | $117.49 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,412.54 | $1,445.44 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $316.23 | $316.23 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $144.54 | $223.87 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $57.54 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $147.91 | $223.87 |
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 $81.28 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $81.28 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $32.36 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $138.04 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $128.82 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 5.8 times more in Vermont 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· 10th of 51
$275
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.