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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $91.20 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $63.10 | $64.57 | $77.62 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $302.00 | Professional | None (both parts) | $91.20 | $147.91 | $302.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $43.65 | $75.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $245.47 | Professional | TC · Technical part | $70.79 | $107.15 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $234.42 Typical High $851.14 | Facility | None | $154.88 | $234.42 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $269.15 | Professional | None (both parts) | $81.28 | $107.15 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $38.90 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $190.55 | Professional | TC · Technical part | $47.86 | $67.61 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | 26 · Professional part | $208.93 | $208.93 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $77.62 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $38.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $48.98 | $91.20 | $181.97 |
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 $45.71 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $19.05 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $74.13 | $83.18 |
Where Tennessee sits
The same service costs 4.6 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· 23rd of 51
$138
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.