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 $208.93 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $208.93 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $56.23 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $218.78 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $58.88 | $91.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $295.12 | Professional | TC · Technical part | $109.65 | $109.65 | $295.12 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $162.18 | $245.47 | $457.09 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $69.18 | $120.23 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $109.65 | $190.55 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $831.76 | Facility | None | $263.03 | $660.69 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $125.89 | $234.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $41.69 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $83.18 | $158.49 | $363.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,659.59 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | 26 · Professional part | $380.19 | $380.19 | $446.68 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $1,348.96 | $1,380.38 | $1,380.38 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $181.97 | $275.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $186.21 | $295.12 |
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 $104.71 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $104.71 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $54.95 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $234.42 Typical High $281.84 | Professional | CT · Older CT scanner | $173.78 | $234.42 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $162.18 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 5.4 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· 17th of 51
$324
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.