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 $512.86 Median $758.58 Typical High $1,584.89 | Facility | None | $512.86 | $758.58 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $549.54 Typical High $630.96 | Facility | TC · Technical part | $537.03 | $549.54 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $549.54 | Professional | None (both parts) | $416.87 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $104.71 | $128.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $380.19 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $309.03 | $478.63 | $912.01 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $104.71 | $177.83 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $416.87 Typical High $776.25 | Professional | TC · Technical part | $229.09 | $416.87 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $1,479.11 | Facility | None | $512.86 | $1,174.90 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $426.58 Typical High $977.24 | Professional | None (both parts) | $223.87 | $426.58 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $61.66 | $95.50 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $165.96 | $323.59 | $741.31 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,467.37 | $3,630.78 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,019.95 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $323.59 | $537.03 | $758.58 |
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 $239.88 Median $416.87 Typical High $616.60 | Professional | TC · Technical part | $239.88 | $416.87 | $616.60 |
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 $269.15 Median $275.42 Typical High $316.23 | Facility | 52 · Reduced service | $269.15 | $275.42 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $125.89 | Facility | 53 · Discontinued | $107.15 | $109.65 | $125.89 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $426.58 Median $446.68 Typical High $512.86 | Facility | FX · Film X-ray | $426.58 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $213.80 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $102.33 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $407.38 Typical High $426.58 | Professional | FX · Film X-ray | $338.84 | $407.38 | $426.58 |
Where Tennessee sits
The same service costs 5.6 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· 17th of 51
$589
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.