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 $104.71 Median $104.71 Typical High $302.00 | Facility | None | $104.71 | $104.71 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $123.03 | Professional | None (both parts) | $100.00 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $28.84 | $30.20 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $72.44 | $75.86 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $19.05 | Professional | 26 · Professional part | $6.61 | $6.61 | $19.05 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $123.03 | $158.49 | $302.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $43.65 | $75.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $117.49 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $218.78 | Facility | None | $128.82 | $154.88 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $229.09 | Professional | None (both parts) | $75.86 | $79.43 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $64.57 | Professional | 26 · Professional part | $21.88 | $22.91 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $165.96 | Professional | TC · Technical part | $53.70 | $56.23 | $165.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $954.99 | $977.24 | $977.24 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $831.76 | $831.76 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $151.36 | $173.78 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $44.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $125.89 | $194.98 |
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 $50.12 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $20.89 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $85.11 Typical High $91.20 | Professional | FX · Film X-ray | $81.28 | $85.11 | $91.20 |
Where Tennessee sits
The same service costs 4.2 times more in Nebraska 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· 30th of 51
$170
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.