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 $645.65 Typical High $1,584.89 | Facility | None | $512.86 | $645.65 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $676.08 | Facility | TC · Technical part | $398.11 | $549.54 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $426.58 | $562.34 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $165.96 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $549.54 | Professional | TC · Technical part | $295.12 | $398.11 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $912.01 | Professional | None (both parts) | $302.00 | $371.54 | $912.01 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $107.15 | $173.78 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $691.83 | Professional | TC · Technical part | $169.82 | $316.23 | $691.83 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $1,047.13 | Professional | None (both parts) | $346.74 | $524.81 | $1,047.13 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $229.09 | Professional | 26 · Professional part | $100.00 | $134.90 | $229.09 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $446.68 Typical High $831.76 | Professional | TC · Technical part | $245.47 | $446.68 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,258.93 Typical High $1,584.89 | Facility | None | $549.54 | $1,258.93 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $478.63 Typical High $1,230.27 | Professional | None (both parts) | $251.19 | $478.63 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $79.43 | $123.03 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $1,096.48 | Professional | TC · Technical part | $173.78 | $346.74 | $1,096.48 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None (both parts) | $6,165.95 | $6,165.95 | $6,165.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $5,623.41 | $5,623.41 | $5,623.41 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $630.96 Typical High $1,122.02 | Professional | None (both parts) | $363.08 | $630.96 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $102.33 | $123.03 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $446.68 Typical High $891.25 | Professional | TC · Technical part | $257.04 | $446.68 | $891.25 |
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 $338.84 | Facility | 52 · Reduced service | $269.15 | $275.42 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $134.90 | Facility | 53 · Discontinued | $107.15 | $109.65 | $134.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $426.58 Median $446.68 Typical High $537.03 | Facility | FX · Film X-ray | $426.58 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $112.20 Typical High $114.82 | Professional | 53 · Discontinued | $87.10 | $112.20 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | FX · Film X-ray | $346.74 | $457.09 | $457.09 |
Where Tennessee sits
The same service costs 5.8 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· 23rd of 51
$575
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.