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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $102.33 | $107.15 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $60.26 | $120.23 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $85.11 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $85.11 | $154.88 | $302.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $66.07 | $114.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $64.57 | $97.72 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $1,023.29 | Facility | None | $138.04 | $204.17 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $602.56 | Professional | None (both parts) | $91.20 | $151.36 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $61.66 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $524.81 | Professional | TC · Technical part | $50.12 | $85.11 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,388.44 |
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 $123.03 Median $190.55 Typical High $537.03 | Professional | None (both parts) | $123.03 | $190.55 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $63.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $389.05 | Professional | TC · Technical part | $67.61 | $102.33 | $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 $51.29 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | FX · Film X-ray | $81.28 | $81.28 | $87.10 |
Where Tennessee sits
The same service costs 4.8 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· 33rd of 51
$170
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.