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 $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $128.82 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $81.28 | $83.18 | $97.72 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $112.20 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $112.20 | $194.98 | $354.81 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $70.79 | $117.49 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $134.90 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $2,754.23 | Facility | None | $204.17 | $309.03 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $602.56 | Professional | None (both parts) | $120.23 | $190.55 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $524.81 | Professional | TC · Technical part | $75.86 | $120.23 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
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 $151.36 Median $223.87 Typical High $537.03 | Professional | None (both parts) | $151.36 | $223.87 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $398.11 | Professional | TC · Technical part | $95.50 | $141.25 | $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 $63.10 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $26.30 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | FX · Film X-ray | $102.33 | $102.33 | $117.49 |
Where Tennessee sits
The same service costs 4.4 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· 16th of 51
$257
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.