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 $54.95 Median $54.95 Typical High $63.10 | Facility | None | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $63.10 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $26.92 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $38.02 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $56.23 | $81.28 | $151.36 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $36.31 | $64.57 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $48.98 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $190.55 | Facility | None | $89.13 | $134.90 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $165.96 | Professional | None (both parts) | $58.88 | $75.86 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $30.20 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $104.71 | Professional | TC · Technical part | $33.11 | $42.66 | $104.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $602.56 | $602.56 | $660.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | TC · Technical part | $363.08 | $363.08 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $83.18 | $102.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $38.02 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $63.10 | $102.33 |
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 $31.62 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | FX · Film X-ray | $51.29 | $51.29 | $56.23 |
Where Tennessee sits
The same service costs 3.7 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· 25th of 51
$102
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.