How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | 26 · Professional part | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $169.82 | $169.82 | $223.87 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $138.04 | $186.21 | $323.59 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $28.84 | $47.86 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $199.53 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $380.19 Typical High $537.03 | Facility | None | $323.59 | $380.19 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $141.25 | $229.09 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $30.20 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $125.89 | $190.55 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None (both parts) | $8,912.51 | $8,912.51 | $8,912.51 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $891.25 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | TC · Technical part | $8,128.31 | $8,128.31 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $120.23 | $223.87 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $27.54 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $199.53 | $316.23 |
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 $95.50 Median $95.50 Typical High $123.03 | Professional | 52 · Reduced service | $95.50 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | 53 · Discontinued | $38.02 | $38.02 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $223.87 | Professional | FX · Film X-ray | $151.36 | $151.36 | $223.87 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 43rd of 51
$204
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.