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 $275.42 Median $380.19 Typical High $794.33 | Facility | None | $275.42 | $380.19 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $416.87 | Facility | TC · Technical part | $229.09 | $371.54 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $275.42 | $323.59 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $54.95 | $97.72 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $229.09 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $707.95 | Professional | None (both parts) | $676.08 | $676.08 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $120.23 | $213.80 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $295.12 | $467.74 | $891.25 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $144.54 | $245.47 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $371.54 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $1,584.89 | Facility | None | $660.69 | $1,148.15 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $1,148.15 | Professional | None (both parts) | $309.03 | $478.63 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $131.83 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $346.74 | $891.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $4,786.30 | $4,786.30 | $4,786.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 26 · Professional part | $1,698.24 | $1,698.24 | $1,698.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | TC · Technical part | $3,630.78 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $407.38 | $537.03 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $109.65 | $131.83 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $389.05 Typical High $691.83 | Professional | TC · Technical part | $295.12 | $389.05 | $691.83 |
6 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 Facility Modifier 52 · Reduced service Typical Low $158.49 Median $190.55 Typical High $208.93 | Facility | 52 · Reduced service | $158.49 | $190.55 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $83.18 | Facility | 53 · Discontinued | $63.10 | $75.86 | $83.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $302.00 Typical High $331.13 | Facility | FX · Film X-ray | $257.04 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $54.95 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $229.09 Typical High $302.00 | Professional | FX · Film X-ray | $218.78 | $229.09 | $302.00 |
Where Tennessee sits
The same service costs 6.8 times more in Alaska than in Utah. 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· 22nd of 51
$513
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.