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 $128.82 Median $128.82 Typical High $131.83 | Facility | None | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $128.82 | $134.90 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $70.79 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $61.66 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $104.71 | $134.90 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $77.62 | $109.65 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $109.65 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $109.65 | $190.55 | $363.08 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $74.13 | $162.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $66.07 | $120.23 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $3,311.31 | Facility | None | $144.54 | $213.80 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $616.60 | Professional | None (both parts) | $117.49 | $186.21 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $75.86 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $524.81 | Professional | TC · Technical part | $52.48 | $91.20 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,162.28 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | 26 · Professional part | $549.54 | $549.54 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $549.54 | Professional | None (both parts) | $154.88 | $223.87 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $398.11 | Professional | TC · Technical part | $70.79 | $120.23 | $398.11 |
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 $64.57 Median $64.57 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $25.70 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | FX · Film X-ray | $102.33 | $102.33 | $109.65 |
Where Tennessee sits
The same service costs 4.1 times more in Alaska 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· 18th of 51
$240
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.