How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $85.11 | $89.13 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $22.39 | $38.90 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $100.00 | Professional | TC · Technical part | $44.67 | $46.77 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $75.86 | $75.86 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $72.44 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $72.44 | $109.65 | $218.78 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.18 Typical High $91.20 | Professional | 26 · Professional part | $16.60 | $28.18 | $91.20 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $186.21 | Professional | TC · Technical part | $50.12 | $81.28 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $660.69 | Facility | None | $398.11 | $478.63 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $549.54 | Professional | None (both parts) | $75.86 | $112.20 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $36.31 Typical High $91.20 | Professional | 26 · Professional part | $19.95 | $36.31 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $69.18 Typical High $512.86 | Professional | TC · Technical part | $38.90 | $69.18 | $512.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
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 $97.72 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $97.72 | $134.90 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $17.78 | $46.77 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $389.05 | Professional | TC · Technical part | $53.70 | $85.11 | $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 $39.81 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $39.81 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $16.98 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $67.61 Typical High $70.79 | Professional | FX · Film X-ray | $64.57 | $67.61 | $70.79 |
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· 29th of 51
$126
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.