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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $141.25 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $87.10 | $91.20 | $107.15 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $125.89 | $208.93 | $407.38 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $56.23 | $81.28 | $134.90 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $151.36 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $3,311.31 | Facility | None | $223.87 | $338.84 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $616.60 | Professional | None (both parts) | $134.90 | $208.93 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $524.81 | Professional | TC · Technical part | $85.11 | $131.83 | $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 $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $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 $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 $60.26 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $426.58 | Professional | TC · Technical part | $102.33 | $151.36 | $426.58 |
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 $70.79 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $28.18 | $28.84 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | FX · Film X-ray | $112.20 | $112.20 | $128.82 |
Where Tennessee sits
The same service costs 4.4 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· 19th of 51
$282
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.