How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $102.33 Median $102.33 Typical High $151.36 | Facility | None | $102.33 | $102.33 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $114.82 | Facility | TC · Technical part | $69.18 | $112.20 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $102.33 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $33.88 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $72.44 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $87.10 | $204.17 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $28.84 | $45.71 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $79.43 | $128.82 | $245.47 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $45.71 | $85.11 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $89.13 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $323.59 | Facility | None | $173.78 | $204.17 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $95.50 | $112.20 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $40.74 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $61.66 | $74.13 | $162.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,047.13 | Professional | None (both parts) | $812.83 | $812.83 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $239.88 | $239.88 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $741.31 | Professional | TC · Technical part | $575.44 | $575.44 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $93.33 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $41.69 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $58.88 | $83.18 | $154.88 |
3 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 Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $20.89 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | FX · Film X-ray | $81.28 | $81.28 | $91.20 |
Where Tennessee sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 25th of 51
$145
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.