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 $61.66 Median $109.65 Typical High $251.19 | Facility | None | $61.66 | $109.65 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $151.36 | Professional | None (both parts) | $61.66 | $64.57 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $31.62 | Professional | 26 · Professional part | $19.95 | $21.88 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $109.65 | Professional | TC · Technical part | $40.74 | $42.66 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $30.20 | $35.48 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $66.07 | $123.03 | $213.80 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $48.98 | Professional | 26 · Professional part | $16.98 | $23.44 | $48.98 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $45.71 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $194.98 Typical High $562.34 | Facility | None | $109.65 | $194.98 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $60.26 | $100.00 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $22.91 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $67.61 Typical High $162.18 | Professional | TC · Technical part | $40.74 | $67.61 | $162.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $691.83 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | 26 · Professional part | $154.88 | $154.88 | $204.17 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $602.56 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $316.23 | Professional | None (both parts) | $69.18 | $117.49 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $48.98 | Professional | 26 · Professional part | $17.78 | $25.12 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $87.10 Typical High $295.12 | Professional | TC · Technical part | $43.65 | $87.10 | $295.12 |
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 $30.90 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $12.88 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | FX · Film X-ray | $50.12 | $50.12 | $57.54 |
Where Tennessee sits
The same service costs 5.4 times more in New York 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· 19th 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.