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 $128.82 Median $128.82 Typical High $229.09 | Facility | None | $128.82 | $128.82 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $128.82 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $43.65 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $91.20 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $51.29 | $66.07 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $112.20 | $165.96 | $316.23 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $56.23 | $109.65 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $120.23 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $389.05 | Facility | None | $213.80 | $295.12 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $114.82 | $141.25 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $100.00 | Professional | 26 · Professional part | $34.67 | $43.65 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $75.86 | $97.72 | $223.87 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,288.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | 26 · Professional part | $309.03 | $309.03 | $398.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | TC · Technical part | $707.95 | $707.95 | $870.96 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $117.49 | Facility | None | $75.86 | $75.86 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $109.65 | $154.88 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $100.00 | Professional | 26 · Professional part | $33.88 | $51.29 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $75.86 | $112.20 | $208.93 |
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 $64.57 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $26.30 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | FX · Film X-ray | $102.33 | $102.33 | $114.82 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska 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· 22nd of 51
$182
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.