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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $112.20 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $53.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $63.10 | $87.10 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $89.13 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $89.13 | $173.78 | $323.59 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $77.62 | $131.83 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $67.61 | $104.71 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $3,311.31 | Facility | None | $147.91 | $223.87 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $165.96 Typical High $616.60 | Professional | None (both parts) | $102.33 | $165.96 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $70.79 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $524.81 | Professional | TC · Technical part | $53.70 | $91.20 | $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 $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
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 $134.90 Median $204.17 Typical High $549.54 | Professional | None (both parts) | $134.90 | $204.17 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $389.05 | Professional | TC · Technical part | $72.44 | $104.71 | $389.05 |
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 $56.23 Median $56.23 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $22.39 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $89.13 | $97.72 |
Where Tennessee sits
The same service costs 5.4 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· 17th of 51
$224
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.