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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $32.36 | $32.36 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $52.48 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $66.07 | $66.07 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $74.13 | $95.50 | $194.98 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $34.67 | $67.61 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $63.10 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $316.23 | Facility | None | $190.55 | $223.87 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $74.13 | $79.43 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $46.77 | $102.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $812.83 | Professional | None (both parts) | $758.58 | $758.58 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | 26 · Professional part | $269.15 | $269.15 | $309.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $501.19 | $512.86 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $87.10 | $104.71 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $34.67 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $56.23 | $64.57 | $100.00 |
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 $42.66 Median $42.66 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | FX · Film X-ray | $67.61 | $67.61 | $72.44 |
Where Tennessee sits
The same service costs 4.5 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· 32nd of 51
$107
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.