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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $208.93 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $123.03 | $128.82 | $151.36 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $177.83 | $208.93 | $407.38 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $97.72 | $190.55 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $114.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $512.86 | Facility | None | $112.20 | $218.78 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $177.83 | $199.53 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $85.11 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $117.49 | $194.98 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,398.83 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | 26 · Professional part | $630.96 | $630.96 | $851.14 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,548.82 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $194.98 | $234.42 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $91.20 | $102.33 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $131.83 | $177.83 |
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 $107.15 Median $107.15 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $42.66 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | FX · Film X-ray | $169.82 | $169.82 | $181.97 |
Where Tennessee sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 36th of 51
$234
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.