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 $371.54 Median $588.84 Typical High $1,584.89 | Facility | None | $371.54 | $588.84 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $537.03 Typical High $549.54 | Facility | TC · Technical part | $269.15 | $537.03 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $338.84 | $371.54 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $102.33 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $275.42 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $199.53 | $245.47 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $70.79 | $107.15 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $269.15 | $524.81 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $223.87 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $223.87 | $371.54 | $741.31 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $81.28 | $141.25 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $323.59 Typical High $630.96 | Professional | TC · Technical part | $165.96 | $323.59 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $933.25 Typical High $1,202.26 | Facility | None | $371.54 | $933.25 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $323.59 Typical High $741.31 | Professional | None (both parts) | $165.96 | $323.59 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $47.86 | $74.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $602.56 | Professional | TC · Technical part | $120.23 | $234.42 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,884.03 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,511.89 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $239.88 | $426.58 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $316.23 | $489.78 |
6 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 $199.53 Median $269.15 Typical High $275.42 | Facility | 52 · Reduced service | $199.53 | $269.15 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $107.15 Typical High $109.65 | Facility | 53 · Discontinued | $79.43 | $107.15 | $109.65 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $316.23 Median $426.58 Typical High $446.68 | Facility | FX · Film X-ray | $316.23 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $169.82 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $89.13 | Professional | 53 · Discontinued | $67.61 | $74.13 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $302.00 Typical High $363.08 | Professional | FX · Film X-ray | $275.42 | $302.00 | $363.08 |
Where Tennessee sits
The same service costs 5.5 times more in Wyoming 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· 18th of 51
$479
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.