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 $562.34 Median $588.84 Typical High $2,238.72 | Facility | None | $562.34 | $588.84 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,238.72 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,238.72 | $2,630.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $33.11 | $33.11 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $2,238.72 Typical High $2,754.23 | Professional | TC · Technical part | $2,238.72 | $2,238.72 | $2,754.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $223.87 | $316.23 | $616.60 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $35.48 | $48.98 | $83.18 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $208.93 | $281.84 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $1,659.59 | Facility | None | $446.68 | $616.60 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $190.55 | $281.84 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $44.67 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $234.42 | $446.68 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $5,248.07 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | TC · Technical part | $5,248.07 | $5,248.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,513.56 Typical High $3,467.37 | Professional | None (both parts) | $275.42 | $1,513.56 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $44.67 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $1,479.11 Typical High $3,630.78 | Professional | TC · Technical part | $229.09 | $1,479.11 | $3,630.78 |
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 $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | 53 · Discontinued | $446.68 | $446.68 | $562.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,778.28 Median $1,778.28 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,778.28 | $1,778.28 | $2,238.72 |
Where Tennessee sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 28th of 51
$550
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.