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 $309.03 Median $323.59 Typical High $794.33 | Facility | None | $309.03 | $323.59 | $794.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $416.87 | Facility | TC · Technical part | $229.09 | $380.19 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $144.54 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $54.95 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $218.78 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $218.78 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $66.07 | $72.44 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $93.33 | $169.82 | $323.59 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $58.88 | $100.00 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $123.03 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $371.54 Typical High $478.63 | Facility | None | $190.55 | $371.54 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $97.72 | $165.96 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $53.70 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $239.88 | Professional | TC · Technical part | $64.57 | $104.71 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | 26 · Professional part | $288.40 | $288.40 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $794.33 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $134.90 | $177.83 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $54.95 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $120.23 | $199.53 |
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 $74.13 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $74.13 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $29.51 | $54.95 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $218.78 Typical High $263.03 | Professional | FX · Film X-ray | $109.65 | $218.78 | $263.03 |
Where Tennessee sits
The same service costs 4.3 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· 7th of 51
$263
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.