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 $109.65 Median $239.88 Typical High $251.19 | Facility | None | $109.65 | $239.88 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $30.90 | $30.90 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $77.62 | $77.62 | $91.20 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $74.13 | $95.50 | $194.98 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $36.31 | $70.79 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $128.82 | Professional | TC · Technical part | $46.77 | $57.54 | $128.82 |
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 $100.00 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $100.00 | $107.15 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $30.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $75.86 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | None (both parts) | $851.14 | $851.14 | $1,122.02 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | 26 · Professional part | $288.40 | $288.40 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | TC · Technical part | $630.96 | $630.96 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $95.50 | $138.04 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $38.02 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $97.72 | $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 $53.70 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | FX · Film X-ray | $87.10 | $87.10 | $100.00 |
Where Tennessee sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 42nd of 51
$132
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.