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 $331.13 Typical High $794.33 | Facility | None | $275.42 | $331.13 | $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 $204.17 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $204.17 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $83.18 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $120.23 | $218.78 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $134.90 | $186.21 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $89.13 | $138.04 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $100.00 | $181.97 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $117.49 | $239.88 | $416.87 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $77.62 | $104.71 | $181.97 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $144.54 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $602.56 | Facility | None | $239.88 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $138.04 | $218.78 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $257.04 | Professional | TC · Technical part | $75.86 | $123.03 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,230.27 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $524.81 | $660.69 | $660.69 |
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 Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $186.21 | $234.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $131.83 | $234.42 |
4 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 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 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 $165.96 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $165.96 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 18.2 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· 18th 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.