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 $691.83 | Facility | None | $102.33 | $102.33 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $102.33 | $104.71 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $45.71 | $60.26 |
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 Setting Professional Modifier None (both parts) Typical Low $87.10 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $87.10 | $158.49 | $309.03 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $70.79 | $117.49 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $100.00 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $3,311.31 | Facility | None | $144.54 | $218.78 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $602.56 | Professional | None (both parts) | $93.33 | $154.88 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $87.10 Typical High $524.81 | Professional | TC · Technical part | $52.48 | $87.10 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
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 $51.29 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $389.05 | Professional | TC · Technical part | $69.18 | $104.71 | $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 $91.20 | Professional | FX · Film X-ray | $81.28 | $81.28 | $91.20 |
Where Tennessee sits
The same service costs 4.9 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.