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 $93.33 Median $93.33 Typical High $117.49 | Facility | None | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $117.49 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $63.10 | $81.28 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $89.13 | $181.97 | $338.84 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $85.11 | $141.25 |
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 $229.09 Typical High $1,513.56 | Facility | None | $151.36 | $229.09 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $616.60 | Professional | None (both parts) | $107.15 | $173.78 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $77.62 | $144.54 |
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 26 · Professional part | $478.63 | $478.63 | $524.81 |
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 $141.25 Median $213.80 Typical High $562.34 | Professional | None (both parts) | $141.25 | $213.80 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $79.43 | $141.25 |
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 $58.88 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | FX · Film X-ray | $93.33 | $93.33 | $104.71 |
Where Tennessee sits
The same service costs 4.5 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· 18th of 51
$234
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.