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 $275.42 Median $549.54 Typical High $794.33 | Facility | None | $275.42 | $549.54 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $380.19 Typical High $416.87 | Facility | TC · Technical part | $281.84 | $380.19 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $141.25 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $54.95 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $218.78 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $64.57 | $128.82 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $60.26 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $60.26 | $125.89 | $239.88 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $72.44 | $120.23 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $75.86 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $316.23 | Facility | None | $190.55 | $229.09 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $87.10 | $123.03 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $58.88 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $43.65 | $63.10 | $141.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $562.34 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $114.82 | $141.25 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $69.18 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $72.44 | $120.23 |
6 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 Facility Modifier 52 · Reduced service Typical Low $158.49 Median $190.55 Typical High $208.93 | Facility | 52 · Reduced service | $158.49 | $190.55 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $83.18 | Facility | 53 · Discontinued | $63.10 | $75.86 | $83.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $302.00 Typical High $331.13 | Facility | FX · Film X-ray | $257.04 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | FX · Film X-ray | $218.78 | $218.78 | $302.00 |
Where Tennessee sits
The same service costs 5.6 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· 16th of 51
$166
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.