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 $83.18 Median $165.96 Typical High $251.19 | Facility | None | $83.18 | $165.96 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $83.18 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $61.66 | $61.66 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $16.22 | $16.22 | $16.22 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $165.96 | Professional | None (both parts) | $66.07 | $81.28 | $165.96 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $25.70 | $51.29 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $56.23 | $120.23 |
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 $81.28 Typical High $169.82 | Professional | None (both parts) | $75.86 | $81.28 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $21.38 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $58.88 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $870.96 | Professional | None (both parts) | $741.31 | $741.31 | $870.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | TC · Technical part | $602.56 | $602.56 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $83.18 | $125.89 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $26.30 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $95.50 | $138.04 |
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 $41.69 Median $41.69 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | FX · Film X-ray | $66.07 | $66.07 | $77.62 |
Where Tennessee sits
The same service costs 4.0 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· 40th of 51
$112
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.