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 $117.49 Typical High $141.25 | Professional | None (both parts) | $112.20 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $45.71 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $70.79 | $95.50 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $100.00 | $173.78 | $331.13 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $67.61 | $114.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $75.86 | $117.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $1,513.56 | Facility | None | $169.82 | $263.03 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $602.56 | Professional | None (both parts) | $104.71 | $169.82 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $102.33 Typical High $524.81 | Professional | TC · Technical part | $63.10 | $102.33 | $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 $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
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 $537.03 | Professional | None (both parts) | $134.90 | $204.17 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $398.11 | Professional | TC · Technical part | $81.28 | $117.49 | $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 $56.23 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $22.91 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | FX · Film X-ray | $91.20 | $91.20 | $102.33 |
Where Tennessee sits
The same service costs 4.3 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· 18th of 51
$229
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.