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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $138.04 | $144.54 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $81.28 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $154.88 | Professional | TC · Technical part | $60.26 | $63.10 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $104.71 | $128.82 |
BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $131.83 | $208.93 | $407.38 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $60.26 | $87.10 | $181.97 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $134.90 Typical High $269.15 | Professional | TC · Technical part | $67.61 | $134.90 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $3,311.31 | Facility | None | $147.91 | $239.88 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $616.60 | Professional | None (both parts) | $125.89 | $204.17 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $85.11 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $95.50 Typical High $524.81 | Professional | TC · Technical part | $54.95 | $95.50 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $676.08 | $676.08 | $758.58 |
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 $165.96 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $165.96 | $251.19 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $93.33 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $128.82 Typical High $416.87 | Professional | TC · Technical part | $72.44 | $128.82 | $416.87 |
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 $69.18 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $27.54 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $112.20 | $120.23 |
Where Tennessee sits
The same service costs 5.1 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· 19th of 51
$269
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.