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 $134.90 Typical High $186.21 | Professional | None (both parts) | $128.82 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $46.77 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $85.11 | $87.10 | $123.03 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $112.20 | $190.55 | $371.54 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $72.44 | $114.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $91.20 | $138.04 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $2,951.21 | Facility | None | $223.87 | $323.59 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $128.82 | $194.98 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $63.10 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $524.81 | Professional | TC · Technical part | $85.11 | $123.03 | $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 $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
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 $229.09 Typical High $549.54 | Professional | None (both parts) | $151.36 | $229.09 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $398.11 | Professional | TC · Technical part | $97.72 | $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 $64.57 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $26.92 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | FX · Film X-ray | $104.71 | $104.71 | $120.23 |
Where Tennessee sits
The same service costs 4.0 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· 16th of 51
$263
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.