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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $109.65 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $46.77 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $64.57 | $95.50 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $87.10 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $87.10 | $162.18 | $309.03 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $69.18 | $117.49 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $69.18 | $107.15 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $2,951.21 | Facility | None | $151.36 | $234.42 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $602.56 | Professional | None (both parts) | $97.72 | $158.49 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $93.33 Typical High $524.81 | Professional | TC · Technical part | $54.95 | $93.33 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
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 $128.82 Median $194.98 Typical High $537.03 | Professional | None (both parts) | $128.82 | $194.98 | $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 $74.13 Median $107.15 Typical High $389.05 | Professional | TC · Technical part | $74.13 | $107.15 | $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 $53.70 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $87.10 | $95.50 |
Where Tennessee sits
The same service costs 4.1 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· 18th of 51
$219
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.